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Home My WebLink AboutCC - December 7, 20211685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 . (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV Regular City Council Meeting — Tuesday, December 7, 2021 Call to Order — 7:00 p.m. Pledge of Allegiance Resident Forum Agenda Approval 1. Approval of Minutes (11/16/21 Regular; 11/23/21 Workshop; 11/23/21 Closed) Consent Items 2. Approve Payment of Claims — Finance 3. Order Feasibility Report/22-15/2022 Mill & Overlay/Chesterton Commons Area & Fox Hollow Area — Engineering 4. Order Feasibility Report/22-16/2022 Mill & Overlay/Andover Boulevard NW — Engineering 5. Order Feasibility Report/22-17/2022 Mill & Overlay/Bluebird Street NW — Engineering 6. Order Improvement/22-18/Pine Hills North & Pine Hills South Parking Lot Paving — Engineering 7. Approve Change Order #1/21-18/Advanced Metering Infrastructure (AMI) —Engineering 8. Award Bid/21-25/Tower #2 Reconditioning & Painting - Engineering 9. Approve New Used Vehicle Sales License —Administration 10. Approve Massage Therapy Renewal Licenses —Administration 11. Approve 2022 Tobacco Licenses/Renewal —Administration 12. Approve 2022 Kennel Licenses/Renewal — Administration 13. Approve 2022 Liquor Licenses/Renewal —Administration 14. Approve 2022 Used Vehicle Business Licenses/Renewal —Administration 15. Approve City Administrator Review — Administration 16. Approve HVAC Preventative Maintenance Contract - Finance Discussion Items 17. Consider Award Sale of Bonds/Ehlers & Associates —Administration 18. Hold Public Hearing/Order Plans & Specs/22-2/2022 Street Reconstruction - Engineering 19. Consider Variance Request — Increase Maximum Size of Ground Mounted Solar Panels — 16971 Ward Lake Drive NW — Harold & Linda Haluptzok (Applicants) — Planning 20. Public Hearing — 2021 Property Tax Levy and Budget —Administration 21. Review/Adopt 2022 Debt Service Levy Changes - Finance Staff Items 22. Administrator's Report —Administration Mayor/Council Input Adjournment A Lbbw (C' - ) 1685 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 55304 . (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV TO: Mayor and City Council CC: Jim Dickinson, City FROM: Michelle Hartner, Deputy City SUBJECT: Approval of Minutes DATE: December 7, 2021 INTRODUCTION The following minutes were provided by TimeSaver, reviewed by Administration, and submitted for City Council approval: November 16, 2021 Regular November 23, 2021 Workshop November 23, 2021 Closed DISCUSSION The minutes are attached for your review. ACTION REQUIRED The City Council is requested to approve the above minutes. tRe�sp-ectfully submitted, Michelle Hartner Deputy City Clerk Attach: Minutes 1 2 3 4 5 6 REGULAR ANDOVER CITY COUNCIL MEETING — NOVEMBER 16, 2021 7 MINUTES 8 9 10 The Regular Bi -Monthly Meeting of the Andover City Council was called to order by Mayor 11 Sheri Bukkila, November 16, 2021, 7:00 p.m., at the Andover City Hall, 1685 Crosstown 12 Boulevard NW, Andover, Minnesota. 13 14 Councilmembers present: Jamie Barthel, Ted Butler, and Randy Nelson 15 16 Councilmember absent: Valerie Holthus 17 18 Also present: City Administrator, Jim Dickinson 19 Community Development Director, Joe Janish 20 Associate Planner, Jake Griffiths 21 City Attorney, Scott Baumgartner 22 Others 23 24 25 PLEDGE OFALLEGLINCE 26 27 RESIDENT FORUM 28 29 No one appeared before the Council. 30 31 AGENDAAPPROVAL 32 33 Motion by Barthel, Seconded by Nelson to approve the Agenda as presented. Motion carried 34 unanimously. 35 36 APPROVAL OFMINUTES 37 38 October 26, 2021 Workshop and November 3, 2021 Regular Meeting 39 40 Motion by Butler, Seconded by Nelson, to approve the October 26, 2021 Workshop Meeting and 41 November 3, 2021 Regular Meeting minutes as presented. Motion carried unanimously. 42 43 CONSENT ITEMS 44 45 Item 2 Approve Payment of Claims 46 Item 3 Accept Feasibility Report/Order Public Hearing/22-2/2022 Street Reconstruction (See Regular Andover City Council Meeting Minutes — November 16, 2021 Page 2 1 ResolutionR084-21) 2 Item 4 Accept Petition/Waive Public Hearing/Order & Adopt Assessment Roll/21-52/3502 — 3 142nd Avenue NW (See Resolution R085-21) 4 Item 5 Joint Powers Agreement/Anoka County/Election Voting Equipment 5 Item 6 Approve 2022 TimeSaver Contract 6 Item 7 Approve Appointment — Public Utilities Manager 7 Item 8 Receive October 2021 City Investment Reports 8 Item 9 Received October 2021 General Fund Budget Progress Report 9 Item 10 Receive October 2021 Andover Community Center Budget Progress Report 10 Item 11 Approve Contract for School Liaison/Anoka-Hennepin School District #11 11 Item 12 Approve Resolution Approving the Classification and Sale of Tax Forfeited Property — 12 PIN 17-32-24-32-0022 (See Resolution R086-21) 13 Item 13 Approve City Code Amendment to Title 9: Building Regulations, Chapter 4: Swimming 14 Pools, Spas and Hot Tubs and Summary Ordinance for Publication (See Ordinance 526) 15 Item 14 Approve Used Vehicle Sales Business License 16 Item 15 Approve LMCIT Liability Coverage 17 18 Motion by Barthel, Seconded by Butler, to approve the Consent Agenda as read. Motion carried 19 unanimously. 20 21 SUPPLEMENTAL AGENDA ITEMS 22 23 Mayor Bukkila announced supplemental information for agenda items 16 and 17. 24 25 Motion by Barthel, Seconded by Nelson, to accept supplemental information for agenda items 16 26 and 17. Motion carried unanimously. 27 28 ANOKA COUNTYSHERIFFS OFFICE MONTHL Y REPOR T 29 30 Commander Lenzmeier provided a monthly report for October 2021, reporting 1,142 calls for 31 service. He reported 1 burglary and 24 thefts. The Sheriff's Department conducted 221 traffic 32 stops issuing 80 traffic citations. There were 8 DWIs for the month. The Sheriff's Department 33 has seen an increase in unruly behavior and in the severity of crimes. Commander Lenzmeier 34 stated there were 2 felony arrests, 2 gross misdemeanor arrests, and 9 misdemeanor arrests. 35 36 Councilmember Nelson thanked Commander Lenzmeier for the increased presence on Veterans 37 Memorial Boulevard, noting people are slowing down. 38 39 Mayor Bukkila noted the age range of the DWI offenders are from 29 to 63 years old and people 40 are under the influence of meth, alcohol, and fentanyl. She stated half of the offenders are from 41 Andover. Mayor Bukkila thanked the Sheriff's Department for doing their job well. 42 43 Commander Lenzmeier noted the Sheriff's Department is conducting their night qualification 44 shoot and residents might hear firearms in evening. Regular Andover City Council Meeting Minutes —November 16, 2021 Page 3 HEARING TO CONSIDER ORDER OF ABATEMENT — 2863 SOUTH COON CREEK DRIVE NW 4 The City Council is requested to consider an order of abatement for 2863 South Coon Creek 5 Drive. Associate Planner Griffiths identified the location of the property and stated it is 2.9 acres 6 in a rural area. He explained the City has been working with the property owner for almost 2 7 years. Mr. Griffiths provided overview of timeline as provided in the staff report. He explained 8 the property had a structure fire and was deemed uninhabitable. While responding to the fire, the 9 Fire Department observed several City and building code violations and reported them to City 10 staff. 11 12 Mr. Griffiths presented the timeline of City communication with the property owner and indicated 13 the property owner has not made sufficient progress, leading to this abatement hearing. Mr. 14 Griffiths displayed photos of violations and stated staff went to the property earlier in the day to 15 see if any additional progress was made, and there was none. 16 17 Mr. Griffiths stated if the Council approves the abatement resolution, City staff will reinspect the 18 property on the deadline and if the property remains in violation of City Code staff will work with 19 the City Attorney to obtain a court order to remove the violating conditions on the property. After 20 that, staff will work with the City's contracted abatement company to carry out the Council's 21 abatement order. If any items are physically unable to be removed, the property owners will be 22 issued citations for those items in lieu of abatement. 23 24 Councilmember Nelson asked who was responsible for the cost of the abatement. Mr. Griffiths 25 stated the cost of the abatement, and a 20% administrative fee is charged to the property owner. 26 27 Councilmember Butler stated he has received many complaints about the property and appreciates 28 the City moving on resolving it. 29 30 Motion by Butler, Seconded by Nelson, to open the public hearing at 7:21 p.m. Motion carried 31 unanimously. 32 33 No one appeared before the Council. 34 35 Motion by Butler, Seconded by Barthel, to close the public hearing at 7:21 p.m. Motion carried 36 unanimously. 37 38 Motion by Barthel, Seconded by Butler, to adopt Resolution No. R087-21 declaring the condition 39 of the property at 2863 South Coon Creek Drive NW PIN 28-32-24-24-0003 a public nuisance 40 and ordering abatement of the violating conditions, noting the staff report and public hearing 41 presentation as the record. Motion carried unanimously. 42 43 ADMINISTRATOR'S REPORT 44 Regular Andover City Council Meeting Minutes — November 16, 2021 Page 4 1 City Staff updated the Council on the administration and city department activities, legislative 2 updates, updates on development/CIP projects, and meeting reminders/community events. 4 (Administration) — Mr. Dickinson announced 121 new home permits year to date. He stated staff 5 are focusing on open enrollment and recruitment and retention of staff. He indicated hiring part - 6 time employees at the Community Center is challenging and full-time staff have changed their 7 shifts to cover staffing. The City is working on an updated COVID policy to bring to Council. 8 The County has sent out property tax statements and residents are encouraged to call the number 9 on the statement if they have any questions. The City will sell bonds at the first meeting in 10 December. The City will host MPCA office hours on Thursday, November 18,' from 4:00 p.m. — 11 7:00 p.m. at the City Hall Senior Center to answer resident questions. They will also have office 12 hours in December and January with dates and times to be announced. Mr. Dickinson noted there 13 are a large number of projects scheduled for 2022. 14 15 (Community Development) — Mr. Janish announced the City received a preliminary plat and 2 16 commercial site plans for Andover Crossings. He stated they have received several inquiries for 17 businesses looking for space in Andover. 18 19 MAYORICOUNCIL INPUT 20 21 Nothing was reported. 22 23 ADJOURNMENT 24 25 Motion by Barthel, Seconded by Butler, to adjourn. Motion carried unanimously. The meeting 26 adjourned at 7:31 p.m. 27 28 29 Respectfully submitted, 30 31 Shari Kunza, Recording Secretary 32 TimeSaver OffSite Secretarial, Inc. 33 Regular Andover City Council Meeting Minutes — November 16, 2021 Page 5 REGULAR ANDOVER CITY COUNCIL MEETING MINUTES — NOVEMBER 16, 2021 TABLE OF CONTENTS PLEDGE OF ALLEGIANCE......................................................................................................... 1 RESIDENTFORUM...................................................................................................................... 1 AGENDAAPPROVAL.................................................................................................................. 1 APPROVALOF MINUTES........................................................................................................... 1 CONSENTITEMS......................................................................................................................... 1 Item 2 Approve Payment of Claims............................................................................................ 1 Item 3 Accept Feasibility Report/Order Public Hearing/22-2/2022 Street Reconstruction (R084-21)......................................................................................................................... 1 Item 4 Accept Petition/Waive Public Hearing/Order & Adopt Assessment Roll/21-52/3502 — 142 a Avenue NW(R085-21)..........................................................................................2 Item 5 Joint Powers Agreement/Anoka County/Election Voting Equipment ............................. 2 Item 6 Approve 2022 TimeSaver Contract................................................................................. 2 Item 7 Approve Appointment — Public Utilities Manager.......................................................... 2 Item 8 Receive October 2021 City Investment Reports.............................................................. 2 Item 9 Received October 2021 General Fund Budget Progress Report ...................................... 2 Item 10 Receive October 2021 Andover Community Center Budget Progress Report ................ 2 Item 11 Approve Contract for School Liaison/Anoka-Hennepin School District #11 ................. 2 Item 12 Approve Resolution Approving the Classification and Sale of Tax Forfeited Property — PIN 17-32-24-32-0022(R086-21)...................................................................................2 Item 13 Approve City Code Amendment to Title 9: Building Regulations, Chapter 4: Swimming Pools, Spas and Hot Tubs and Summary Ordinance for Publication (Ord. 526).................................................................................................................................. 2 Item 14 Approve Used Vehicle Sales Business License............................................................... 2 Item 15 Approve LMCIT Liability Coverage............................................................................... 2 SUPPLEMENTAL AGENDA ITEMS........................................................................................... 2 ANOKA COUNTY SHERIFF'S OFFICE MONTHLY REPORT ................................................ 2 HEARING TO CONSIDER ORDER OF ABATEMENT — 2863 SOUTH COON CREEK DRIVENW (R087-21).................................................................................................... 3 ADMINISTRATOR'S REPORT.................................................................................................... 3 (Administration).............................................................................................................................. 4 (Community Development)............................................................................................................ 4 MAYOR/COUNCIL INPUT .......................................................................................................... 4 ADJOURNMENT........................................................................................................................... 4 2 3 4 5 6 7 ANDOVER CITY COUNCIL WORKSHOP MEETING —NOVEMBER 23, 2021 8 MINUTES 9 10 11 12 The Workshop Meeting of the Andover City Council was called to order by Mayor Sheri Bukkila, 13 November 23, 2021 at 6:00 p.m., at the Andover City Hall, 1685 Crosstown Boulevard NW, 14 Andover, Minnesota. 15 16 Councilmembers present: Valerie Holthus, Jamie Barthel, Ted Butler (left the 17 meeting at 6:08 p.m. and returned at 6:25 p.m.), and Randy 18 Nelson 19 20 Councilmember absent: None 21 22 Open Space Commissioners: Chairperson Kim Kovach, Ryan Ingebritson, and Jim Olson 23 24 Also present: City Administrator, Jim Dickinson 25 City Engineer/Public Works Director, David Berkowitz 26 "City Planner, Joe Janish 27 Natural Resources Technician, Kameron Kytonen 28 Others 29 30 31 DISCUSSION WITH OPENSPACE ADVISORY COMMISSION (OSAQ 32 33 The City Council is requested to meet with the Open Space Advisory Commission and provide 34 feedback on discussion items. 35 36 Dalske Woodlands Boardwalk 37 Mr. Kytonen provided a brief background of the site and stated they are looking at 38 constructing 150 feet of boardwalk. Currently, there is only access to half of the property 39 due to difficulty crossing the wetland. The boardwalk has been in the plan for several years 40 and OSAC would like the City to implement the plan. The Council was shown examples 41 of boardwalks in the metro area. Some of the projects were contracted and some were 42 installed by staff and volunteers. 43 44 Mayor Bukkila asked what type of soil would be under the boardwalk because that would 45 impact the cost of the project. Mr. Kytonen said there would need to be a study to Andover City Council Workshop Meeting Minutes — November 23, 2021 Page 2 1 determine the soil and product needed. Mr. Berkowitz stated it would be around $20,000 2 for a complete study. 4 Mr. Berkowitz referring to the old Woodland Creek Golf Course area stated the Board of 5 Water and Soil Resources (BOWSR) created a boardwalk plan for the City. He explained 6 BOWSR built the boardwalk, and it has since settled and created additional maintenance. 7 He stated this experience has caused the City to look at these projects more critically. Mr. 8 Berkowitz stated it is important to have a study done to install the right type of boardwalk. 10 The Council reached consensus to explore a study and the feasibility of constructing a 11 boardwalk. Mr. Berkowitz asked for OSAC Commissioners to attend a kickoff meeting 12 and provide input to the contractor. 13 14 Mr. Dickinson stated the City did a liability check and the insurance provider would like 15 the City to go through a detailed process. He supports the study and would like to look at 16 a good, better, and best option. Mr. Kytonen stated there is a grant through the Federal 17 Government that the City can apply for. 18 19 • OSAC involvement in plan review 20 OSAC would like to be involved in plan review. They were not in favor of roads being 21 constructed right next to the open space in Martins Meadows. OSAC feels they can give 22 some suggestions and feedback to protect the open space sites and accommodate 23 development. 24 25 Mayor Bukkila thinks it is a good idea and suggested OSAC Commissioners review the 26 Planning and Zoning Commission meeting and provide input. Mr. Dickinson stated an 27 informal review process is an option and suggested having the OSAC review a sketch plan 28 and provide input prior to the Planning and Zoning Commission meeting. If there isn't a 29 sketch plan, OSAC can review the preliminary plat at a special meeting. The Council 30 reached consensus to have OSAC review plans in the suggested method. 31 32 • Management of the preserves and future initiatives of OSAC 33 OSAC is looking at getting schools involved in the preserves. Mr. Dickinson stated the 34 Open Space Bonds will end in 2022 and there will be some funds available to maintain the 35 open space properties. 36 37 DISCUSSION WITHPOTENTL4L SENIOR MULTI -HOUSING DEVELOPER 38 39 The City Council is requested to discuss a senior multi -housing development and provide 40 comments on the potential development. Mr. Janish stated the City has been approached by the 41 developer to build a senior complex on the Holasek property. Mr. Janish stated a Comprehensive 42 Plan Amendment would be needed. The Comprehensive Plan has identified the property to be Andover City Council Workshop Meeting Minutes — November 23, 2021 Page 3 1 part commercial and part residential at 4-8 units per acre. The senior complex would be around 20 2 units per acre. 4 Jack Collins, Executive Vice President of SilverCrest Properties, and Peter Pfister, Pfister 5 Architects, came forward to present the proposal. Mr. Collins provided information about 6 SilverCrest and they have identified Andover as a great location for a new development. Mr. 7 Collins played a video demonstrating their Maple Grove community, services, and amenities. Mr. 8 Collins stated they have high occupancy rates, terrific employees, and they put their residents first. 9 Mr. Collins noted the wellness center has a warm water pool and they have trained chefs in the 10 dining hall. 11 12 Mr. Dickinson stated he toured the Maple Grove community. He suggested Council should discuss 13 the four-story component because the senior assisted living facility is proposed at 4 stories. He 14 stated the amenities and finishes would be similar to Maple Grove which he felt would meet 15 Andover requirements. 16 17 Mr. Collins stated the complex would have 120 independent living apartments, 40-50 assisted 18 living apartments, and 20 memory care units. They are also proposing an enhanced assisted living, 19 an option between memory care and assisted living where the resident needs a higher level of care. 20 21 Mr. Pfister said they are bound with one access point into the property, with right in, right out. He 22 pointed out where the buildings would be located on the property and the height of each building. 23 He stated they have met with the Fire Department and made some changes to the layout. 24 25 Mr. Collins stated they can only go 3 stories high on the assisted living facility while the 26 independent living building can be 4 stories. He stated 4 stories allow for shorter hallways and 27 easier access. The independent living facility will have underground parking. Mr. Collins stated 28 they employ 75-85 staff primarily caregivers and dining staff. 29 30 Mr. Dickinson asked Council if they interested in a four-story senior apartment complex. 31 32 Councilmember Holthus asked what the density would be. Mr. Janish stated it depends on how 33 much ponding is needed and expects it to be around 19-20 units per acre. 34 35 Councilmember Barthel asked if this project moved forward, how many other areas of the City 36 could be moved from medium density to low density. He asked if it was going to be a dramatic 37 change to the Comprehensive Plan. Mr. Janish stated the City may be able to make some changes, 38 but the City is at 2.8 units per acre and getting closer to 3 units per acre as required by the Met 39 Council. 40 41 Mayor Bukkila stated the SilverCrest product is a good product and is run well. She stated she has 42 not envisioned a senior facility in this area. She stated there is so little commercial property in the Andover City Council Workshop Meeting Minutes —November 23, 2021 Page 4 1 City that she does not want to give it up. 2 3 Councilmember Nelson stated it is a beautiful facility and since commercial property is limited, 4 he does not believe this is the right location for a senior apartment building. 6 Councilmember Butler has concerns about going away from commercial and asked how they 7 would buffer the development from single-family neighborhoods. Mr. Collins stated there is 8 transitional housing in buffering the single-family neighborhood in Maple Grove. He stated they 9 work with the City and neighborhoods to make it work and can change the orientation of buildings 10 and plant two-story trees. 11 12 Councilmember Holthus asked if the roofline could be variated and not square. She asked if the 13 City has received any interest from commercial buyers. Mr. Dickinson stated the property has been 14 vacant since he has worked for Andover which is 22 years. Councilmember Holthus stated the 15 access is not good for commercial and she is not against senior housing at that location. 16 17 Councilmember Barthel likes the concept of senior housing, but the height of the building is not 18 acceptable to him. He does not want to go over two stories. 19 20 Mr. Dickinson stated commercial interest in this site has been minimal as access is difficult. He 21 stated the main interest over the years has been from multi -family developers. 22 23 Mayor Bukkila believes the price of the land is too high. Mr. Dickinson stated the property owners 24 have reduced the price and they are now in the market range. 25 26 Councilmember Barthel stated commercial developers want rooftops and there aren't enough 27 rooftops to support the commercial. He stated this proposal would give them rooftops but then 28 there would be no place for commercial. 29 30 Mr. Collins stated they would look at the commercial concern and possibly hold a neighborhood 31 informational meeting. 32 33 RECESS & RECONVENE 34 35 Mayor Bukkila recessed the meeting at 7:05 p.m. The meeting was reconvened at 7:10 p.m. 36 37 2022 BUDGET DEVELOPMENT/2022 PROPOSED PROPERTY TAX LEVYREVIEW 38 39 The City Council is requested to review the proposed 2022 General Fund Budget and proposed 40 property tax levy. Mr. Dickinson stated the City will host the Truth in Taxation Hearing on 41 December 7, 2021. He noted that property tax statements have been sent to residents and the 42 County Assessor is showing a 7.47% increase in the taxable market value which impacts a Andover City Council Workshop Meeting Minutes —November 23, 2021 Page 5 1 homeowner's tax. 2 3 Mr. Dickinson updated the Council on the progress of the 2022 Budget Development Guidelines 4 as written in the staff report. He explained the City needs to hire due to recent retirements. Councilmember Butler stated he would like to see the City hire a leader who can focus on park planning, be aware of park issues regionally, and nationally to lead and guide the Park and Recreation Commission. 10 Mayor Bukkila agreed with Councilmember Butler and would like to see a staff member be more 11 recreation focused and make the best use of what you have. The rest of the Council agreed. 12 13 Mr. Dickinson reviewed personnel and contractual department changes and expenses as written in 14 the staff report. He noted that $2,500 was added for the Andover Senior Center from the General 15 Fund. He stated there are many activities for seniors at the YMCA. Mr. Dickinson reviewed the 16 budget spreadsheets and tables in the staff report. 17 18 Mr. Dickinson provided an update on the Fire Department duty crew proposal. He indicated they 19 changed the proposal to 14 hours of duty crew per month per firefighter and kept the 25% 20 responding to calls and 75% training/station maintenance. Mr. Dickinson stated soft 21 implementation will begin January 1, 2022 and they are asking the membership to make a good 22 faith effort to achieve 14 hours of duty crew time. He stated leadership will perform a review 23 quarterly and adjust as needed. Mr. Dickinson indicated they have already seen an increase in 24 duty crew sign ups. 25 26 Mr. Dickinson reviewed feedback from firefighters. He stated they held a meeting and got good 27 questions. He said the good news is that the membership has improved signing up for duty crew 28 shifts. Mayor Bukkila stated it would be nice to have them pull together as a team and not have to 29 mandate hours. 30 31 Councilmember Butler asked how the model changed due to firefighter feedback. Mr. Dickinson 32 stated they will have a soft implementation beginning January 1, 2022 and they reduced the duty 33 crew time to 14 hours, reduced from 18 hours in the original proposal. 34 35 Councilmember Butler noted there is no flexibility in responding to calls versus duty crew time. 36 Mr. Dickinson stated he heard from the membership there should be requirements holding 37 members harmless for not showing up is not helping. Councilmember Butler said he has spoken 38 with a few of the members, and they appreciated Mr. Dickinson being present at the meeting. 39 40 Mr. Dickinson stated a few asked what was in it for them if they do this and that they wanted 41 money put in their retirement. Mr. Dickinson said if the City did that, funds would likely be 42 incentive based on meeting goals and put into an individual 457 rather than to the Relief Andover City Council Workshop Meeting Minutes — November 23, 2021 Page 6 1 Association. Councilmember Butler stated he likes that incentive. 2 3 Mr. Dickinson stated he will probably attend Fire Department meetings once or twice a year, to 4 gather and present information. 6 Mayor Bukkila stated there is a perception that fire operates in a silo and the City Administration 7 and Council are not in control. 9 Mr. Dickinson reiterated the proposal's goal is to help reduce response time and provide a reliable 10 response when someone calls 911. 11 12 OCTOBER 2021 COMMUNITY CENTER UPDATE 13 14 The City Council is requested to review the October 2021 Community Center update. Mr. 15 Dickinson reviewed the budget summary year to date. He noted that staffing continues to be a 16 challenge and full-time staff are adjusting their hours to cover. He is concerned about burnout 17 with the full-time staff. Mr. Dickinson stated the Community Center will be very busy in 18 November and December with rentals and programs. He indicated the Community Center will not 19 offer winter ice skating lessons because they do not have instructors. 20 21 Mayor Bukkila asked if they needed to be 18 to be an instructor. Mr. Dickinson stated they would 22 like the lead instructor to be 18 or older. Mayor Bukkila asked how they recruit. Mr. Dickinson 23 stated they place advertisements, send out emails, social media posts and talk to coaches. 24 25 Mr. Dickinson updated the Council on the concession operations and stated no one is able to 26 commit due to staffing and there is too much unknown due to COVID. Staff have added vending 27 machines and are restocking them more often. 28 29 Councilmember Holthus asked if they have thought about hiring a full-time person. Mr. Dickinson 30 said they would love to, but it would significantly impact the budget, we hope the hiring crisis is 31 short term. 32 33 Councilmember Butler stated the long-term part-time staff at the Community Center are very good 34 and do great work. 35 36 DISCUSS COVID POLICY 37 38 The City Council is requested to discuss and review the City's Mandatory Vaccination and Testing 39 Policy. Mr. Dickinson stated OSHA announced its Emergency Temporary Standard (ETS) to 40 address mandatory COVID- 19 vaccination and testing for the workplace. He said one part of this 41 ETS requires employers to establish written policies to implement the mandate. Mr. Dickinson 42 stated the mandate is currently under appeal, however, it is recommended to develop a policy while Andover City Council Workshop Meeting Minutes —November 23, 2021 Page 7 1 it is being litigated. Mr. Dickinson stated the policy in the workshop packet is a template from 2 OSHA. 3 4 Councilmember Butler asked if the City had any contracts with the Federal Government that would 5 mandate them to be vaccinated. Mr. Dickinson said the City does not. 6 7 Mayor Bukkila stated she looked at other countries and their vaccination mandates. She stated it 8 appears to be a global effort to vaccinate. Mayor Bukkila said her research has shown that the 9 requirements in other countries are proof of vaccination plus a negative PCR test by an approved 10 vendor. She believes there is an issue with the Federal Government putting the expense of the 11 enforcement cost onto employers for a Federal mandate. 12 13 Mr. Dickinson stated the policy is ready to go and the dates may change depending on the outcome 14 of the litigation. 15 16 The Council is in support of having the policy ready. 17 18 CLOSED SESSION— CITYADMINISTRA TOR PERFORMANCE REVIEW 19 20 RECESS 21 22 Motion by Barthel, Seconded by Butler to recess the work session at 8:00 p.m. to a Closed Session 23 of the City Council to discuss the City Administrator's performance review. Motion carried 24 unanimously. 25 26 RECONVENE 27 28 The Council reconvened at 8:25 p.m. 29 30 ADJOURNMENT 31 32 Motion by Barthel, Seconded by Nelson, to adjourn the meeting at 8:26 p.m. Motion carried 33 unanimously. 34 35 Respectfully submitted, 36 37 38 Shari Kunza, Recording Secretary 39 TimeSaver Off Site Secretarial, Inc. 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV TO: Mayor and Councilmembers CC: Jim Dickinson, City Administrator FROM: Lee Brezinka, Finance Manager SUBJECT: Payment of Claims DATE: December 7, 2021 INTRODUCTION Attached are disbursement edit lists for claims related to the on-going business of the City of Andover. Claims totaling $485,890.41 on disbursement edit list #1 - 43 from 11/15/2021 to 12/03/2021 has been issued and released. Claims totaling $496,608.39 on disbursement edit list #4 dated 12/07/2021 will be issued and released upon approval. BUDGET IMPACT The edit lists consist of routine payments with expenses being charged to various department budgets and projects. ACTION REQUESTED The Andover City Council is requested to approve total claims in the amount of $982,498.80. Please note that Council Meeting minutes will be used as documented approval. Respectfully submitted, Y�_71 Lee Brezinka Attachments: Check Proof Lists Accounts Payable Computer Check Proof List by Vendor User: BrendaF Printed: 11/15/2021 - 10:17AM Batch: 00412.11.2021 Invoice No Description �I Amount Payment Date Acct Number Reference Vendor: AceSolid Ace Solid Waste, Inc. Check Sequence: 1 ACH Enabled: False 7305529 11/21 Commercial Waste & Recycling 587.77 11/15/2021 2130-44000-62020 7305529 11/21 Commercial Waste & Recycling 587.77 11/15/2021 2130-44100-62020 7309757 11/21 Rental Property Waste & Recycling 292.78 11/15/2021 4520-49300-62020 7311071 11/21 Rental Property Waste & Recycling 129.65 11/15/2021 4520-49300-62020 Check Total: 1,597.97 Vendor: AFLAC AFLAC Check Sequence: 2 ACH Enabled: False 909428 October 2021 Premium 771.12 11/15/2021 0101-00000-21209 Check Total: 771.12 Vendor: AimElec AIM Electronics, Inc. Check Sequence: 3 ACE Enabled: False 43190 Backlit 1D/AD Panel Including Artwork 4,120.00 11/15/2021 4403-49300-63010 Check Total: 4,120.00 Vendor. AirComfo Air Comfort Heating & AC Inc. Check Sequence: 4 ACH Enabled: False 2021-04547 Refund -Wrong Address 72.00 11/15/2021 0101-42300-52190 Check Total: 72.00 Vendor: AllArena All American Arena Products Check Sequence: 5 ACH Enabled: False 3035 Tempered Glass 986.16 11/15/2021 2130-44300-61020 3057 Comer Pad W/PSA Velcro 528.29 11/15/2021 2130-44300-61020 Check Total: 1,514.45 Vendor: AllTesti All Test & Inspection Inc. Check Sequence: 6 ACE Enabled: False CR21-13345 Inspection Service on Unit #139 327.00 11/15/2021 610048800-63135 Check Total: 327.00 AP -Computer Check Proof List by Vendor (11/15/2021-10:17 AM) Page 1 Invoice No Description Amount Payment Date Acct Number Reference Vendor: AmazonBu Amazon Capital Services Check Sequence: 7 ACH Enabled: False IR6W-CM9H-J3RQ Community Center Switch 1,439.00 11/15/2021 2130-44000-61020 Check Total: 1,439.00 Vendor: AnkCol4 Anoka Co Recorder Check Sequence: 8 ACH Enabled: False 520 Recording Fees 138.00 11/15/2021 0101-41600-63215 Check Total: 138.00 Vendor: BamRealE BAM Real Estate Check Sequence: 9 ACH Enabled: False 10-2021 October Management 1,074.60 11/15/2021 4520-49300-63010 10-2021 October Maintenance Reimbursements 384.13 11/15/2021 4520-49300-63105 Check Total: 1,458.73 Vendor: BarrEngi Barr Engineering Company Check Sequence: 10 ACH Enabled: False 23021026.03-1 Some Water Implementation Grant 192.50 11/15/2021 5100-48100-63005 Check Total: 192.50 Vendor: BirchTre Birch Tree Care Check Sequence: I l ACH Enabled: False 35432 EAB Management Program 48.60 11/15/2021 0101-45500-63005 Check Total: 48.60 Vendor: BoyerTru Boyer Trucks Check Sequence: 12 ACH Enabled: False 002P5853 Parts for Unit#134 23.07 11/15/2021 6100-48800-61115 Check Total: 23.07 Vendor: CedMFrid Cedar Management, Inc Check Sequence: 13 ACH Enabled: False 10/21 Mgmt Fees October 2021 Management Fees 200.00 11/15/2021 4520-49300-63010 Check Total: 200.00 Vendor: Centerpt CenterPoint Energy Check Sequence: 14 ACH Enabled: False 10809697-5 2543 Bunker Lk Blvd(4-plex) 45.83 11/15/2021 4520-49300-62015 10809697 110786514-4 Vehicle Maint Bldg 654.73 11/15/2021 610048800-62015 11078651-4 11078654-8 Cold Storage 22.05 11/15/2021 0101-41940-62015 11078654-8 11369721-3 2621 BunkerLkBlvd MAIN(4-plex) 109.14 11/15/2021 4520-49300-62015 11369721 11369722-1 2607 BunkerLkBlvd MAIN(4-plex) 34.72 11/15/2021 4520-49300-62015 11369722 11527322-9 2513 Bunker Lk Blvd (Duplex) 17.44 11/15/2021 4520-49300-62015 11527322 5825952-4 Equipment Building 22.05 11/15/2021 0101-41950-62015 5825952 5840270-2 Water Treatment Plant 1,431.74 11/15/2021 5100-48100-62015 5840270 AP -Computer Check Proof List by Vendor (11/15/2021 - 10:17 AM) Page 2 Invoice No Description Amount Payment Date Acct Number; Reference 5840341-1 Prairie Knoll Park 15.00 11/15/2021 0101-41990-62015 5840341 5841153-9 Fire Station#1 67.25 11/15/2021 010141920-62015 5841153 5841451-7 Fire Station 92 78.46 11/15/2021 0101-41920-62015 5841451 5852601-3 Fire Station#3 84.39 11/15/2021 010141920-62015 5852601 5864630-8 Pumphouse#4 15.00 11/15/2021 5100-48100-62015 5864630 5883191-8 Sunshine Park 15.00 11/15/2021 010141970-62015 5883191 5893307-8 Well #1 15.00 11/15/2021 510048100-620'15 5893307 59072264 Pumphouse #6 57.32 11/15/2021 510048100-62015 5907226 5927939-8 Pumphouse #7 16.11 11/15/2021 510048100-62015 5927939 5945463-7 Well#3 15.00 11/15/2021 5100-48100-62015 5945463 5950580-0 City Hall/Senior Center 97.53 11/15/2021 010141910-62015 5950580 6122874-8 Lift Station #4 19.46 11/15/2021 520048200-620Y5 6122874 6402167055-5 Lift Station#10 2724 11/15/2021 520048200-62015 6402167055 6402417246-8 2527 BunkerLkBlvd MAIN(4-plex) 10.63 11/15/2021 452049300-62015 6402417246 6402418666-6 2527 Bunker LkBlvd #4 (4-plex) 9.32 11/15/2021 452049300-62015 6402418666 6402474382-1 2556 138th Ave MAIN (4 -plea) 54.03 11/15/2021 4520-49300-62015 6402474382 6402630849-0 2542138th Ave #3 (4-plex) 9.50 11/15/2021 452049300-620,15 6402630849 7575198-2 ASN Ballfields 15.00 11/15/2021 0101-41980-620Y5 7575198 7725077-7 Lift Station #1 16.11 11/15/2021 520048200-62015 7725077 8743371-0 Warming House 15.00 11/15/2021 010145000-620,15 8743371 AP -Computer Check Proof List by Vendor (11/15/2021- 10:17 AM) Page 3 Check Total: 2,990.05 Vendor: ChetsSho Chet's Shoes, Inc. Check Sequence: 15 ACH Enabled: False LLC12199 Safety Boots for J. Law 104.00 11/15/2021 010141600-61005 LLC12317 Safety Boots for J. Kroll 179.00 11/15/2021 0101-43100-61005 S1966 Safety Boots for R. Eggink 196.00 11/152021 0101-43100-61005 Check Total: 479.00 Vendor: CielochJ Jeff Cielocha Check Sequence: 16 ACH Enabled: False 00035144 Instructor Reimbursement 600.00 11/152021 010142200-581100 Check Total: 600.00 Vendor: CintasGK Cintas Corp - Cintas Loc 416K Check Sequence: 17 ACH Enabled: False 4100263776 Uniform Clean & Shop Towels 109.87 11/15/2021 610048800-61020 4100263934 Unifonn Cleaning 131.83 11/15/2021 0101-43100-61020 4100263934 Uniform Cleaning 18.84 11/152021 010143300-61020 4100263934 Uniform Cleaning 75.31 11/15/2021 0101-45000-61020 4100263934 Uniform Cleaning 18.85 11/152021 5100-48100-61020 4100263934 Uniform Cleaning 37.65 11/152021 5200-48200-61020 4100941720 Uniform Clean & Shop Towels 76.07 11/15/2021 610048800-61020 AP -Computer Check Proof List by Vendor (11/15/2021- 10:17 AM) Page 3 Invoice No Description Amount Payment Date Acct Number � Reference 4100941741 Floor Mat Rental 37.46 11/15/2021 0101-41910-62200 4100941775 Floor Mat Rental 35.75 11/15/2021 0101-41930-62200 4100941825 Floor Mat Rental 125.14 11/15/2021 5100-48100-62200 4100941929 Uniform Cleaning 132.70 11/15/2021 0101-43100-61020 4100941929 Uni£orm Cleaning 18.96 11/15/2021 0101-43300-61020 4100941929 Uniform Cleaning 75.80 11/15/2021 0101-45000-61020 4100941929 Uniform Cleaning 18.97 11/15/2021 5100-48100-61020 4100941929 Uniform Cleaning 37.90 11/15/2021 5200-08200-61020 Check Total: 951.10 Vendor: CityAndo City of Andover Check Sequence: 18 ACH Enabled: False Public Works 6,888.61 11/15/2021 0101-41930-62010 204320 1929 Crosstown Blvd 11.94 11/15/2021 0101-41930-62025 204321 Sunshine Park 308.84 11/15/2021 0101-41970-62010 204322 City Hall/Senior Center 636.50 11/15/2021 0101-41910-62010 204323 Pumphouse#6 241.27 11/15/2021 5100-48100-620.10 204324 Pumphouse#7 222.85 11/15/2021 5100-48100-62010 204325 Hidden Creek North Park 4,745.66 11/15/2021 0101-45000-620,10 204326 Shadowbrook East Pak 2,070.40 11/15/2021 0101-45000-62010 204327 Water Treatment Plant 5,437.56 11/15/2021 5100-48100-62010 204328 Fire Station #3 578.41 11/15/2021 0101-41920-62010 204329 Community Center 12,925.38 11/15/2021 2130-44000-62010 204330 Community Center 399.75 11/15/2021 2130-44100-62010 204330 County Oaks Park 238.20 11/15/2021 0101-45000-62010 204332 Jay St Sprinkler House 3,276.04 11/15/2021 2110-00000-11310 204333 ASN Ballfields 179.41 11/15/2021 010145000-62010 204334 ASN Sprinkler House 6,372.88 11/15/2021 0101115000-62010 204335 Woodland Estates Park 207.50 11/15/2021 010145000-62010 204340 Hickory Meadow Park 186.01 11/15/2021 0101-45000-62010 204348 Fire Station #1 846.17 11/15/2021 0101-41920-62010 204349 2600 138th Ave NW 16.05 11/1512021 4501-49300-62010 204350 Terrace Park - Irrigation 2,685.04 11/15/2021 0101-45000-62010 213002 Public Works - Storm Water 426.30 11/15/2021 0101-41930-62025 204320 2nd Parcel PW - Storm Water 326.83 11/15/2021 0101-41930-62025 204320 1st Parcel PW - Storm Water 406.51 11/15/2021 0101-41930-62025 204320 Sunshine Park - Storm Water 11.94 11/15/2021 0101-45000-62625 204322 City Hall/Sr Ctr - Storm Water 324.80 11/15/2021 0101-41910-62025 204323 Strip Along Hanson Blvd 54.81 11/15/2021 2130-04000-62025 204323 CH Park Lights - Smrm Water 11.94 11/15/2021 010145000-62025 204323 Pumphouse 94 11.94 11/15/2021 5100-48100-62025 204323 Pumphouse #6 - Storm Water 11.94 11/15/2021 510048100-62025 204324 Pumphouse #7 - Storm Water 11.94 11/15/2021 5100-48100-62025 204325 AP -Computer Check Proof List by Vendor (11/15/2021 - 10:17 AM) Page 4 Invoice No Description Amount Payment Date Acct Number Reference Hidden Creek N - Storm Water 11.94 11/15/2021 010145000-62025 204326 Shadowbrook E PK - Storm Water 11.94 11/15/2021 010145000-62025 204327 Water Treatment Plant - Storm 113.68 11/15/2021 5100-48100-62025 204328 Fire Station #3 - Storm Water 11.94 11/15/2021 010141920-62025 204329 Community Center- Stonn Water 543.53 11/15/2021 2130-44000-62025 204330 Country Oaks Pk- Storm Water 11.94 11/15/2021 0101-45000-62025 204332 Hickory Meadows Pk - Storm Wat 11.94 11/15/2021 010145000-62025 204348 Fire Station #1 - Storm Water 11.94 11/15/2021 010141920-62025 204349 Crooked Lake Boat Landing 11.94 11/15/2021 010145000-62025 212987 Eveland Fields - Storm Water 11.94 11/15/2021 010145000-62025 212988 Fox Meadow Park - Storm Water 11.94 11/15/2021 010145000-62025 212989 Hawkridge Park - Storm Water 11.94 11/15/2021 010145000-62025 212990 Hidden Creek E Pk - Storm Wat 11.94 11/15/2021 010145000-62025 212991 Hills Of Bunker Lk W Park 11.94 11/15/2021 010145000-62025 212992 Northwoods East Park - Storm 11.94 11/15/2021 010145000-62025 212993 Northwoods West Park - Storm 11.94 11/15/2021 010145000-62025 212994 Oak Bluff Park - Storm Water 11.94 11/15/2021 010145000-62025 212995 Pine Hills Park - Storm Water 11.94 11/15/2021 0101-45000-62025 212996 Pleasant Oaks Park - Storm Wat 11.94 11/15/2021 010145000-62025 212997 Prairie Knoll Park - Storm 11.94 11/15/2021 0101-45000-62025 212998 Water Tower #1 - Storm Water 11.94 11/15/2021 5100-48100-62025 212999 Pumphouse #8 - Storm Water 11.94 11/15/2021 5100-48100-62025 213000 Red Oaks W Pk- Storm Water 11.94 11/15/2021 010145000-62025 213001 Terrace Park - Storm Water 11.94 11/15/2021 010145000-62025 213002 Timber Trails Park- Storm Wat 11.94 11/15/2021 010145000-62025 213003 Wild Iris Park- Storm Water 11.94 11/15/2021 0101-45000-62025 213004 Pumphouse #1- Storm Water 11.94 11/15/2021 510048100-62025 213005 Pumphouse #2 - Storm Water 11.94 11/15/2021 510048100-62025 213006 Pumphouse #3 - Storm Water 11.94 11/15/2021 5100-48100-62025 213007 Pumphouse #5 - Storm Water 11.94 11/15/2021 5100-48100-62025 213008 Langseth park - Storm Water 11.94 11/15/2021 0101-45000-62025 213009 Chesterton Commons Park 11.94 11/15/2021 010145000-62025 213012 Nordeens Park - Storm Water 11.94 11/15/2021 010145000-62025 213013 Creekview Crossing Park 11.94 11/15/2021 010145000-62025 213014 Kelsey Round Lk Park 11.94 11/15/2021 010145000-62025 213015 Strootman Park - Storm Water 11.94 11/15/2021 010145000-62025 213016 Fire Station #2 11.94 11/15/2021 010141920-62025 213076 Shady Knoll Park - Storm Water 11.94 11/15/2021 0101-45000-62025 213078 Rose Pak - Irrigation 2,815.06 11/15/2021 010145000-62010 214132 2543 Bunker Lk Blvd - Sewer 244.60 11/15/2021 452049300-62010 217539 2543 Bunker Lk Blvd - Storm 12.89 11/15/2021 452049300-62025 217539 2557 Bunker Lk Blvd - Sewer 244.60 11/15/2021 452049300-62010 217540 2557 Bunker Lk Blvd - Storm 12.89 11/15/2021 452049300-62025 217540 AP -Computer Check Proof List by Vendor (11/15/2021 - 10:17 AM) Page 5 Invoice No Description Amount Payment Date Acct Number Reference 2526 138th Ave - Sewer 244.60 11/15/2021 4520-49300-620,10 217568 2526 138th Ave - StOmm 13.94 11/15/2021 4520-49300-62025 217568 2542 138th Ave - Sewer 244.60 11/15/2021 4520-49300-62610 218035 2542 138th Ave - Stomm Water 13.42 11/15/2021 4520-49300-62025 218035 Thorson Property 11.94 11/15/2021 0101-41930-62025 218109 Vehicle Maintenance - Storm 122.82 11/15/2021 610048800-62025 219102 Lions Park - Irrigatoin 1,432.12 11/15/2021 010145000-62010 218730 Lions Park - Stomm Water 11.94 11/15/2021 010145000-62025 218730 Skate Park - Storm Water 11.94 11/15/2021 010145000-62025 218734 Future Trail Underpass - St Lt 6.45 11/15/2021 010145000-62005 218904 Future Trail Underpass - St Wt 11.94 11/15/2021 010145000-62025 218904 Cold Storage Bldg 214.03 11/15/2021 0101-41940-62010 219880 Cold Storage Irrigation 2,298.92 11/15/2021 010141940-62010 219811 2527 Bunker Lk Blvd - Sewer 244.60 11/15/2021 452049300-62010 219937 2527 Bunker Lk Blvd - Stomm 12.89 11/15/2021 452049300-62025 219937 2513 Bunker Lk Blvd Sewer 122.30 11/15/2021 4520-49300-62010 220182 2513 Bunker Lk Blvd - StommWtr 12.89 11/15/2021 452049300-62625 220182 2556 138th Ave - Sewer 244.60 11/15/2021 452049300-62010 220373 2556 138th Ave - Storm Water 14.21 11/15/2021 452049300-62025 220373 2607 Bunker Lk Blvd - Sewer 244.60 11/15/2021 452049300-620',10 220512 2607 Bunker Lk Blvd - StormWtr 16.58 11/15/2021 4520-49300-62025 220512 2621 Bunker Lk Blvd - Sewer 244.60 11/15/2021 4520-49300-620'10 220513 2621 Bunker Lk Blvd - Sto=Wtr 15.00 11/152021 452049300-62025 220513 ASN Ballfields 11.94 11/15/2021 0101-45000-62025 204320 Woodland Estates Park 11.94 11/15/2021 010145000-62025 204320 Hills Of Bunker Lk W Park 2,089.90 11/15/2021 0101-45000-62010 204320 Oak Bluff Park - Storm Water 2,235.88 11/15/2021 010145000-62010 204320 Wild Iris Park- Storm Water 876.58 11/15/2021 0101-45000-62010 204320 Pumphouse 93 - Storm Water 478.64 11/15/2021 5100-48100-62010 204320 Vehicle Maintenance - Storm 1,036.39 11/15/2021 6100-48800-620,10 204320 . Vehicle Maintenance - Storm 6.45 11/15/2021 610048800-62005 204320 Check Total: Vendor: CityAndo City of Andover 209637 2513 Bunker Lake Blvd (4 -Plea) 209637 2513 Bunker Lake Blvd (4 -Plea) Check Total: Vendor: StPaulCi City of St. Paul IN47157 Asphalt Mix 67,049.16 Check Sequence: 19 11.17 11/15/2021 452049300-62025 111.24 11/15/2021 4520-49300-62010 122.41 Check Sequence: 20 5,602.04 11/152021 010143100-61125 ACH Enabled: False ACH Enabled: False AP -Computer Check Proof List by Vendor (11/15/2021 - 10:17 AM) Page 6 Invoice No Description Amount Payment Date Acct Number Reference AP -Computer Check Proof List by Vendor (11/15/2021 - 10:17 Alva Page 7 Check Total: 5,602.04 Vendor: Colorsca Colorscapes Check Sequence: 21 ACH Enabled: False 7203 Refund -Wrong PermitType 35.00 11/15/2021 0101-01600-52265 Check Total' 35.00 Vendor: Comcast5 Comcast Check Sequence: 22 ACH Enabled: False Fire Station #2 44.85 11/15/2021 010141920-62030 763-421-9426 Fire Station #3 71.20 11/15/2021 010141920-62030 763-434-6173 Public Works 19.51 11/15/2021 010141930-62030 763-755-8118 Public Works 78.04 11/15/2021 5100-48100-62030 763-755-8118 Water Treatment Plant 123.90 11/15/2021 5100-48100-62030 763-862-8874 Community Center 200.70 11/15/2021 2130- 4000-62030 763-755-2129 Sunshine Park 44.85 11/15/2021 0101-41970-62030 763-755-9189 City Hall 145.95 11/15/2021 0101-41910-62030 763-755-5100 Andover Station N Ballfields 44.85 11/15/2021 010141980-62030 763-767-2547 Public Works - Internet 182.40 11/15/2021 010141930-62030 City Hall - Internet 182.40 11/15/2021 0101-41910-62030 Check Total: 1,138.65 Vendor: CoonRapi City of Coon Rapids Check Sequence: 23 ACH Enabled: False 13362 Traffic Signal - Crosstown & 133rd 33.98 11/15/2021 0101-43400-62005 13362 Traffic Signal - Hanson & 133rd 28.67 11/15/2021 0101-43400-62005 13363 2021 3rd Qtr Water Service 84.00 11/15/2021 5100-48100-55110 13363 2021 3rd Qtr Sewer Service 7,628.11 11/15/2021 5200-48200-55210 Check Total: 7,774.76 Vendor: Cotten Cottens', Inc Check Sequence: 24 ACH Enabled: False 530485 Heater Hose 76.00 11/15/2021 6100-48800-61020 530627 Napa Ruglyde&Lube Applicator 32.98 11/15/2021 6100-48800-61020 532133 Towstap 49.03 11/15/2021 6100-48800-61115 Check Total: 158.01 Vendor: CreatFor Creative Forms & Concepts, Check Sequence: 25 ACH Enabled: False 119005 1099 Forms for Year End 107.16 11/15/2021 010141400-61005 Check Total: 107.16 Vendor: DavisFqu Davis Equipment Corporation Check Sequence: 26 ACH Enabled: False AP -Computer Check Proof List by Vendor (11/15/2021 - 10:17 Alva Page 7 Invoice No Description Amount Payment Date Acct Number Reference EI15079 Bumper Bar for Unit #20-595 157.54 11/15/2021 6100-48800-61115 AP -Computer Check Proof List by Vendor (11/15/2021 - 10:17 AM) Page 8 Check Total: 157.54 Vendor: DehnOil Dehn Oil Company Check Sequence; 27 ACH Enabled: False 83379 Diesel Fuel 7,687.50 11/15/2021 6100-48800-610'50 83380 Unleaded Fuel 2,905.00 11/15/2021 610048800-61045 Check Total: 10,592.50 Vendor: DeptLabo Department of Labor & Industry Check Sequence: 28 ACH Enabled: False October 2021 October 2021 Surcharge Report 3,711.72 11/15/2021 0101-00000-23201 October2021 October 2021 Surcharge Report -7423 11/15/2021 0101-42300-54325 Check Total: 3,637.49 Vendor: Divisi16 Division 16 Electric, LLC Check Sequence: 29 ACH Enabled: False 5757 Pull Cables from Data to Boiler Rm 1,455.00 11/15/2021 2130-44000-63105 5758 Install Receptacles @ City Hall 1,073.00 11/15/2021 01OIA 1910-63105 5759 Labor for Zamboni Battery Charger 110.00 11/152021 2130-44000-63105 5760 Relocate Apparatus Bay Cord Drop @ FS#2 191.25 11/152021 010141920-63105 5791 Install Timer for Fan Control @ FS#2 154.76 11/15/2021 0101-41920-63105 Check Total: 2,984.01 Vendor: ECM ECM Publishers, Inc. Check Sequence: 30 ACH Enabled: False 860603 Nov 3 PH Proposed Assessment 4.25 11/152021 0101-43600-63025 860603 Nov 3 PH Proposed Assessment 74.00 11/15/2021 5100-48100-63025 860603 Nov 3 PH Proposed Assessment 54.00 11/15/2021 520048200-63025 860603 Nov 3 PH Proposed Assessment 14.00 11/15/2021 530048300-63025 860604 Ordinance No. 525 Summary 95.63 11/15/2021 0101-41500-63025 Check Total: 241.88 Vendor: EganSery Egan Service Check Sequence: 31 ACH Enabled: False MNT0000020054 Andover Blvd & Crosstown RR Maint 557.50 11/152021 0101-43400-62300 Check Total: 557.50 Vendor: ElectDes Electronic Design Company Check Sequence: 32 ACH Enabled: False 0114235 Install New ARC2e @ Scorers Table 415.00 11/15/2021 213044300-63105 Check Total: 415.00 Vendor: EmuAppa EmergencyAppamms Maint Check Sequence: 33 ACH Enabled: False AP -Computer Check Proof List by Vendor (11/15/2021 - 10:17 AM) Page 8 Invoice No Description Amount Payment Date Acct Number Reference 120788 Labor to Repair Ladder 11 501.31 11/15/2021 6100-48800-63135 120788 Parts to Repair Ladder 11 609.47 11/15/2021 6100-48800-61115 Check Total: 1,110.78 ACH Enabled: False 2764 Vendor: EnvEquip Environmental Equipment 680.00 11/15/2021 Check Sequence: 34 ACH Enabled: False 21835 Steel Cutter Brooms 2,700.00 11/15/2021 0101-43100-61620 AP -Computer Check Proof List by Vendor (11/15/2021 - 10:17 AM) Page 9 Check Total: 2,700.00 Vendor: EvergRec Evergreen Recycling LLC Check Sequence: 35 ACH Enabled: False 2764 Mattress Recycling 680.00 11/15/2021 0101-46000-630,10 Check Total: 680.00 Vendor: F1etPrld FleetPride Track & Trailer Parts Check Sequence: 36 ACH Enabled: False 84438400 CrossFire Kit 105PSI 1,160.48 11/15/2021 6100-48800-61115 Check Total: 1,160.48 Vendor: FrancisJ John Francis Check Sequence: 37 ACH Enabled: False Refund Key Deposit & Damage Deposit 450.00 11/15/2021 0101-00000-24201 Check Total: 450.00 Vendor: Frattalo Frattallone's Hardware Sto Check Sequence: 38 ACH Enabled: False 43851 Fasteners 14.28 11/15/2021 2130-44000-61020 43866 Bibb Bose 14.99 11/15/2021 610048800-61020 43871 Tmfuel 4 - Cycle 95.96 11/15/2021 0101-42200-61020 43879 Misc. Supplies 30.97 11/15/2021 5100-48100-61135 43883 Pin Hitch 5.49 11/15/2021 010143100-61020 43889 Hammer 23.99 11/15/2021 0101-41600-61205 43984 Ccupl Hose 75.97 11/15/2021 6100-48800-61020 44021 Misc. Supplies 42.21 11/152021 010143100-61020 44074 Misc. Supplies 70.25 11/15/2021 010143100-61020 44078 Misc. Supplies 4.69 11/15/2021 0101-43100-61020 44098 Trowel Notched 5.79 11/15/2021 213044400-61020 Check Total: 384.59 Vendor: GopherSt Gopher State One -Call Inc Check Sequences 39 ACH Enabled: False 1100179 Billable Locates 234.90 11/15/2021 5100-48100-63040 1100179 Billable Locates 234.90 11/152021 520048200-63040 AP -Computer Check Proof List by Vendor (11/15/2021 - 10:17 AM) Page 9 Invoice No Description Amount Payment Date Acct Number Reference Check Total: 469.80 Vendor: Grainger Grainger Check Sequence: 40 ACH Enabled: False 9114922181 V -Belt 48.09 11/15/2021 5100-48100-61135 Check Total: 48.09 Vendor: HachCo Hach Company Check Sequence: 41 ACH Enabled: False 12736852 Chemicals for Water Treatment Plant 198.05 11/15/2021 5100-08100-61040 12738635 Chemicals for Water Treatment Plant 248.75 11/15/2021 5100-48100-610:40 Check Total: 446.80 Vendor: HagforsT Ted Hag£ors Inc. Check Sequence: 42 ACH Enabled: False 202118 2021 Electrical Inspections 4,862.25 11/15/2021 010142300-63005 Check Total: 4,862.25 Vendor: Hawkins2 Hawkins Inc Check Sequence: 43 ACH Enabled: False 6052605 Chemicals for Water Treatment Plant 2,919.77 11/15/2021 5100-48100-61040 Check Total: 2,919.77 Vendor: HenSchei Henry Schein, Inc. Check Sequence; 44 ACH Enabled: False 11928827 Glutose Gel Lemon 15 gm/Tb 28.02 11/15/2021 0101-42200-61020 Check Total: 28.02 Vendor: HuskyHop Husky Hoops Booster Club Check Sequence: 45 ACH Enabled: False 2021 2021- 2022 Program Ad 175.00 11/15/2021 0101-46000-63010 Check Total: 175.00 Vendor: Insight Insight Public Sector Check Sequence. 46 ACH Enabled: False 1100885547 UAG Rugged Case for Microsoft Surface Pro X 49.29 11/15/2021 0101-41420-61225 1100887084 UAG Rugged Case for Microsoft Surface Pro X 34.93 11/15/2021 0101-41420-61225 Check Total 84.22 Vendor: InstrRes Instrumental Research, Inc Check Sequence: 47 ACH Enabled: False 3721 October 2021 Total Coliform Testing 490.00 11/15/2021 5100-48100-63005 Check Total: 490.00 AP -Computer CheckPmof List by Vendor (1111512021- 10:17 AM) Page 10 Invoice No Description Amount Payment Date Acct Number. Reference Vendor: InterBat Interstate All Battery Center Check Sequence: 48 ACH Enabled: False 1901201009639 Automotive Battery for Unit#550 126.95 11/15/2021 6100-48800-61115 Check Total: 126.95 Vendor: InvCloud InvoiceCloud Check Sequence: 49 ACH Enabled: False 1405-2021_10 Oct 2021 IC Payment Transaction Fees 38.50 11/15/2021 0101-43600-630,10 1405-2021_10 Oct 2021 IC Payment Transaction Fees 633.00 11/15/2021 5100-48100-63010 1405-2021_10 Oct 2021 IC Payment Transaction Fees 458.00 11/15/2021 5200-48200-63010 1405-2021_10 Oct 2021 IC Payment Transaction Fees 115.00 11/15/2021 5300-48300-63010 Check Total: 1,244.50 Vendor: Lawson Lawson Products, Inc. Check Sequence: 50 ACH Enabled: False 9308905858 Misc. Supplies 343.45 11/15/2021 6100-48800-61020 9308905859 Misc. Supplies 31.76 11/15/2021 6100-48800-61020 Check Total: 375.21 Vendor: LepageSo Lepage & Sons Check Sequence: 51 ACH Enabled: False 153610 Trash Removal for Parks Department 434.41 11/15/2021 0101-45000-62020 Check Total: 434.41 Vendor: LittleFa Little Falls Machine, Inc. Check Sequence: 52 ACH Enabled: False 362066 Misc. Stock 1,851.30 11/15/2021 6100-48800-61115 362083 Misc. Stock 402.76 11/15/2021 6100-48800-61115 Check Total: 2,254.06 Vendor: LubrTech Lube -Tech Check Sequence; 53 ACE Enabled: False 2754557 CHV DELO ELC-50/50 694.95 11/15/2021 6100-48800-61020 Check Total: 694.95 Vendor: LumenTec Lumen Technologies Service Group LLC Check Sequence: 54 ACH Enabled: False Permit #CL21-12 Permit #CL21-12 - 16865 Wintergreen St. NW 244.00 11/15/2021 2250-41600-543,15 Check Total: 244.00 Vendor: MEDAIIia MED Alliance Group, Inc. Check Sequence: 55 ACH Enabled: False 223396 Replacement Battery Charger 187.25 11/15/2021 0101-42200-61020 Check Total: 187.25 AP -Computer Check Proof List by Vendor (11/15(2021- 10:17 AM) Page 11 I Invoice No Description Amount Payment Date Acct Number Reference Vendor: Menards Menards Inc Check Sequence: 63 ACH Enabled: False Check Sequence: 56 ACH Enabled: False 61166 11/15/2021 Misc. Supplies 75.95 11/15/2021 2130-44400-61020 11/15/2021 61168 203512393001 Misc. Supplies 32.47 11/15/2021 213044400-61020 203512393001 CH Office Depot Supplies 1.62 Check Total: 108.42 203512393001 CH Office Depot Supplies 0.64 Vendor: MNEquipn Minnesota Equipment CH Office Depot Supplies 0.32 Check Sequence: 57 ACH Enabled: False P26083 Parts for Unit #13-591 49.73 11/15/2021 6100-48800-61115 P26505 V -Belts for Unit #13-591 91.99 11/15/2021 6100-48800-611715 Check Total 141.72 Vendor: MNStFDep Minnesota State Fire Department Association Check Sequence: 58 ACH Enabled: False 2022 2022 MSFDA Membership Dues 495.00 11/15/2021 0101-42200-61320 Check Total 495.00 Vendor: MRCutEdg MR Cutting Edge Check Sequence: 59 ACH Enabled: False 3841 Ice Scraper Blades Sharpen 168.00 11/15/2021 2130-44300-61020 Check Total: 168.00 Vendor: NCPERS NCPERS Group Life Ins Check Sequence: 60 ACH Enabled: False 312000112021 November 2021 Premium 176.00 11/15/2021 0101-00000-21205 Check Total: 176.00 Vendor: NoSafety Northern Safety Technology Check Sequence: 61 ACH Enabled: False 53059 L21 LED Beacon for Unit#139 152.54 11/15/2021 6100-48800-61115 Check Total: 152.54 Vendor: NussTrck Nuss Truck & Equipment Check Sequence l: 62 ACH Enabled: False 357944 Parts to Repair Unit #16-209 2,658.54 11/15/2021 6100-48800-61115 357944 Labor to Repair Unit #16-209 1,425.00 11/15/2021 610048800-63135 Check Total: 4,083.54 Vendor: OfiDepot Office Depot Check Sequence: 63 ACH Enabled: False 203512393001 CH Office Depot Supplies 0.97 11/15/2021 0101-41200-61005 203512393001 CH Office Depot Supplies 1.29 11/15/2021 010141500-61005 203512393001 CH Office Depot Supplies 0.97 11/15/2021 0101-41600-61605 203512393001 CH Office Depot Supplies 1.62 11/15/2021 0101-42300-61005 203512393001 CH Office Depot Supplies 0.64 11/15/2021 0101-41230-61005 203512393001 CH Office Depot Supplies 0.32 11/15/2021 0101-41300-61005 AP -Computer Check Proof List by Vendor (11/15/2021 - 10:17 AM) Page 12 Invoice No Description Amount Payment Date Acct Number Reference 203512393001 CH Office Depot Supplies 0.65 11/15/2021 0101-41400-61005 203512393001 Office Supplies 4.81 11/15/2021 0101-42200-61005 203512393001 Office Supplies 29.15 11/15/2021 010142300-61005 203515224001 CH Office Depot Supplies 25.94 11/15/2021 010141200-61005 203515224001 CH Office Depot Supplies 34.58 11/15/2021 0101-41500-61005 203515224001 CH Office Depot Supplies 25.93 11/15/2021 0101-41600-61005 203515224001 CH Office Depot Supplies 43.23 11/152021 0101-42300-61005 203515224001 CH Office Depot Supplies 17.29 11/15/2021 0101-41230-61005 203515224001 CH Office Depot Supplies 8.64 11/15/2021 0101-41300-61005 203515224001 CH Office Depot Supplies 17.29 11/15/2021 0101-41400-61005 205058685001 PW Office Depot Supplies 28.28 11/152021 0101-43100-61005 205058685001 PW Office Depot Supplies 18.85 11/152021 0101-43200-61005 205058685001 PW Office Depot Supplies 66.01 11/15/2021 0101135000-61005 205058685001 PW Office Depot Supplies 13.20 11/15/2021 0101-46000-61005 205058685001 PW Office Depot Supplies 47.16 11/15/2021 5100-48100-61005 205058685001 PW Office Depot Supplies 90.54 11/15/2021 5200-48200-61005 205071564001 PW Office Depot Supplies 3.21 11/15/2021 0101-43100-61005 205071564001 PW Office Depot Supplies 2.14 11/15/2021 0101-43200-61005 205071564001 PW Office Depot Supplies 7.50 11/15/2021 0101-45000-61005 205071564001 PW Office Depot Supplies 1.50 11/15/2021 0101136000-61005 205071564001 PW Office Depot Supplies 5.35 11/15/2021 510048100-61005 205071564001 PW Office Depot Supplies 10.28 11/15/2021 5200-48200-61005 206022096001 PW Office Depot Supplies 8.55 11/15/2021 0101-43100-61005 206022096001 PW Office Depot Supplies 5.70 11/152021 0101-43200-61005 206022096001 PW Office Depot Supplies 19.95 11/152021 0101-45000-61005 206022096001 PW Office Depot Supplies 3.99 11/152021 0101-46000-61005 206022096001 PW Office Depot Supplies 14.26 11/15/2021 510048100-61005 206022096001 PW Office Depot Supplies 27.37 11/152021 520048200-61005 206114921001 CC Office Depot Supplies 60.86 11/15/2021 2130-44000-61005 206114921001 CC Office Depot Supplies 60.86 11/15/2021 2130-44300-61005 207577362001 CH Office Depot Supplies 1.18 11/15/2021 0101-41200-61005 207577362001 CH Office Depot Supplies 1.58 11/15/2021 0101-41500-61005 207577362001 CH Office Depot Supplies 1.18 11/15/2021 0101-41600-61005 207577362001 CH Office Depot Supplies 1.97 11/15/2021 0101-42300-61005 207577362001 CH Office Depot Supplies 0.79 11/15/2021 0101-41230-61005 207577362001 CH Office Depot Supplies 0.39 11/15/2021 0101-41300-61005 207577362001 CH Office Depot Supplies 0.79 11/15/2021 0101-41400-61005 207577923001 CH Office Depot Supplies 10.28 11/152021 0101-41200-61005 207577923001 CH Office Depot Supplies 13.70 11/15/2021 0101-41500-61005 207577923001 CH Office Depot Supplies 10.28 11/15/2021 0101-41600-61005 207577923001 CH Office Depot Supplies 17.12 11/152021 0101-42300-61005 207577923001 CH Office Depot Supplies 6.85 11/15/2021 0101-41230-61005 207577923001 CH Office Depot Supplies 3.43 11/15/2021 0101-41300-61005 AP -Computer Check Proof List by Vendor (11/15/2021 - 10:17 AM) - Page 13 Invoice No Description Amount Payment Date Acct Number; Reference 207577923001 CH Office Depot Supplies 6.85 11/15/2021 0101-41400-61005 0101-4310051320 207577924001 Office Supplies 30.78 11/15/2021 0101-42300-61005 0101-43200-61320 207577926001 Office Supplies 33.29 11/15/2021 0101-42300-61005 5100-48100-61320 200-1033331 Check Total: 849.34 11/15/2021 5200-48200-61320 Vendor: OReiAuto O'ReillyAuto Parts Check Sequence: 64 ACH Enabled: False 3253-205205 Oil Filters & Fuel/Wtr Sep 126.70 11/15/2021 6100-48800-61115 3253-205207 Fuel/Wtr Sep & Hyd Filter 16.90 11/15/2021 6100-48800-61115 3253-205225 Mount Compond 41.32 11/15/2021 6100-48800-61020 3253-205578 Brake Rotor & Axle Seal for Unit #569 209.34 11/15/2021 6100-48800-61115 3253-205815 Brake Parts for Unit #569 283.08 11/15/2021 610048800-61115 3253-205828 Oil Filters 85.02 11/15/2021 6100-48800-61115 3253-205839 Brake Cleaner 95.52 11/15/2021 6100-48800-61020 3253-206257 Air Filters for Unit #12-584 87.22 11/15/2021 6100-48800-61115 3253-207199 Hi -Power Belt 28.52 11/15/2021 5100-48100-61135 3253-207250 Def Fluid 400.00 11/15/2021 6100-48800-61020 3253-207574 Oil Filters 42.00 11/15/2021 6100-48800-61135 3253-207862 Parts for Unit #T-551 42.77 11/15/2021 6100-48800-61135 3253-208759 Hi -Power Belt 22.86 11/15/2021 5100-48100-61135 Check Total: 1,481.25 Vendor: PembertB Blake Pemberton Check Sequence: 65 ACH Enabled: False Pool Escrow Pool Escrow - 15058 Thrush Street NW 1,500.00 11/15/2021 0101-00000-24217 Check Total: 1,500.00 Vendor: PhaseEle Phase Electric Inc. Check Sequence: 66 ACH Enabled: False 155310606 Refund -Didn't Do the Job 72.00 11/15/2021 0101-42300-52230 Check Total: 72.00 Vendor: Pioneer Pioneer Rim And Wheel Co. Check Sequence: 67 ACH Enabled: False OIC13591 Modular Wheel Cap for Unit T-551 283.36 11/15/2021 6100-4880051115 Check Total: 283.36 Vendor: PreCise PreCise MRM LLC Check Sequence: 68 ACH Enabled: False 200-1033331 Software License 52.00 11/15/2021 0101-4310051320 200-1033331 Software License 155.17 11/15/2021 0101-43200-61320 200-1033331 Software License 69.00 11/15/2021 5100-48100-61320 200-1033331 Software License 69.00 11/15/2021 5200-48200-61320 AP -Computer Check Proof List by Vendor (11/15/2021 - 10:17 AM) IPage 14 Invoice No Description Amount Payment Date Acct NumberReference AP -Computer Check Proof List by Vendor (11115/2021-10:17 AM) - Page 15 Check Total: 345.17 Vendor: PrestoGr Presto Graphics Inc. Check Sequence: 69 ACH Enabled: False 67926 Window Envelopes 618.12 11/15/2021 0101-41400-61005 Check Total: 618.12 Vendor: PriceC us Price Custom Homes Check Sequence: 70 ACH Enabled: False 4292 -Escrow 4292168th Ave NW 5,250.00 11/15/2021 7200-00000-24204 4292 -Imp Fee 4292168th Ave NW -50.00 11/15/2021 0101-41600-541.80 Check Total: 5,200.00 Vendor: Proforma Proforma Marketing Incentives Check Sequence: 71 ACH Enabled: False BB29002304A Shirts & Caps 224.00 11/15/2021 0101-42300-61020 Check Total: 224.00 Vendor: RandyEnv Randy's Environmental Services Check Sequence: 72 ACH Enabled: False 1-2900204 Shredding Service 950.60 11/15/2021 0101-06000-63070 Check Total: 950.60 Vendor: RumRivCC Rum River Construction Consultants Check Sequence: 73 ACH Enabled: False 432 10/21 Contract Bldg Inspection Services 1,255.84 11/15/2021 010142300-63005 Check Total: 1,255.84 Vendor: SchergeE Emie Scherger Check Sequence: 74 ACH Enabled: False 00035144 Instructor Reimbursement 250.00 11/15/2021 010142200-58100 Check Total: 250.00 Vendor: SCHWAA Schwaab, Inc. Check Sequence: 75 ACH Enabled: False 6515215 Ink Pads for Date Stamper 69.74 11/15/2021 0101-41400-61005 Check Total: 69.74 Vendor: SharperH Sharper Homes - Check Sequence: 76 ACH Enabled: False 1087 -Escrow 1087169th Ave NW 2,000.00 11/15/2021 7200-00000-24204 1087 - Insp Fee 1087 169thAve NW -50.00 11/15/2021 010141600-54180 17037 -Escrow 17037 Dakota Streeet NW 2,000.00 11/15/2021 7200-00000-242b4 17037 -Insp Fee 17037 Dakota Streeet NW -50.00 11/15/2021 010141600-54180 4464 -Escrow 4464167th Ave NW 2,000.00 11/15/2021 7200-00000-242,04 AP -Computer Check Proof List by Vendor (11115/2021-10:17 AM) - Page 15 Invoice No Description Amount Payment Date Acct Number Reference 4464-Insp Fee 4464167th AveNW -50.00 11/15/2021 0101-41600-54180 Check Total: 5,850.00 Vendor: SLFDTrai SLFD Training Check Sequence: 77 ACH Enabled: False 2021-15 Training Simulator -3 Hours 450.00 11/15/2021 0101-02200-61315 Check Total: 450.00 Vendor: StarTri2 Stu Tribune Check Sequence: 78 ACE Enabled: False 796232 11/18/21 - 11/17/22 Weekly Newspaper 200.10 11/15/2021 0101-41930-61020 Check Total: 200.10 Vendor: StevensT Tyler Stevens Check Sequence: 79 ACH Enabled: False Pool Escrow Pool Escrow - 477 144th Lane NW 1,500.00 11/15/2021 0101-00000-24217 Check Total: 1,500.00 Vendor: SupSolut Supply Solutions LLC Check Sequence: 80 ACH Enabled: False 34648 Paper Towels/Bath Tissue/Can Liners 388.43 11/15/2021 010141910-61025 34650 Paper Towels/Bath Tissue/Can Liners 291.28 11/15/2021 010141930-61025 Check Total: 679.71 Vendor: Timesave Timesaver Check Sequence: 81 ACH Enabled: False M26809 Park Commission Meeting 151.00 11/15/2021 0101-45000-63005 M26809 City Council Meeting 374.00 11/15/2021 0101-41100-63005 Check Total: 525.00 Vendor: Verizon Verizon Wireless Check Sequence: 82 ACH Enabled: False 9891906594 Storm Water Pump 24.95 11/15/2021 5300-48300-62030 9891906595 Parks Trail Cams @ Hawkridge Park 49.90 11/15/2021 0101-45000-62030 Check Total: 74.85 Vendor: VoyantCo Voyant Communications Check Sequence: 83 ACH Enabled: False 0030943211101 Phone Service @ City Hall 654.98 11/15/2021 0101-41910-62030 0030943211101 Phone Service @ Fire Stations 102.00 11/15/2021 0101-41920-62030 0030943211101 Phone Service @ Public Works 210.00 11/15/2021 0101-41930-62030 0030943211101 Phone Service @ Comm Cn 99.00 11/15/2021 2130-44000-62030 0030943211101 Phone Service @ WTP 43.00 11/15/2021 510048100-62030 AP -Computer Check Proof List by Vendor (11/15/2021 - 10:17 AM) Page 16 Invoice No Description Amount Payment Date Acct Number Reference Check Total: 1,108.98 Vendor: WatConsS Water Conservation Service Check Sequence,: 84 ACH Enabled: False 11766 Annual Water System Leak Survey 6,000.00 11/15/2021 5100-48100-63010 Check Total: 6,000.00 Vendor: WestStrE West Star Electric Check Sequence: 85 ACH Enabled: False 155089139 Refund Permit -Work Not Done 120.00 11/15/2021 0101-41600-52265 Check Total: 120.00 Vendor: WilsonLi Lindsey Wilson Check Sequence: 86 ACH Enabled: False 00035144 Instructor Reimbursement 250.00 11/15/2021 0101-42200-58100 Check Total: 250.00 Vendor: WisniewK Kristy Wisniewski Check Sequence: 87 ACH Enabled: False 00035144 Instructor Reimbursement 250.00 11/15/2021 010142200-58100 Check Total: 250.00 Vendor: WSB WSB & Associates, Inc. Check Sequence: 88 ACH Enabled: False R-015803-000-15 Risk Assessment & Emergency Response Plan 934.00 11/15/2021 5100-48100-63005 R-017448-000-9 AMI- Advanced Metering Infrastructure 98.50 11/15/2021 5100-48100-63005 Check Total: 1,032.50 Total for Check Run: 175,532.61 Total of Number of Checks: 88 AP -Computer Check Proof List by Vendor (11/15/2021 -10:17 ANI) Page 17 Accounts Payable Computer Check Proof List by Vendor User: BmndaF Printed: 11/19/2021- 1:59PM Batch: 00417.11.2021 Invoice No Description Amount Payment Date Acct Number Reference Vendor: Activ9l l Active911, Inc. Check Sequence: I ACH Enabled: False 351397 Traditional Subscription 1,222.50 11/19/2021 0101-42200-63010 CheckTotal: 1,222.50 Vendor: Aladtec Aladtec, Inc. Check Sequence: 2 ACH Enabled: False 2021-3570 Employee Scheduling & Workforce Mgmt Soft 3,892.00 11/19/2021 0101-42200-62305 Check Total: 3,892.00 Vendor: AnkCity City of Anoka Check Sequence: 3 ACH Enabled: False INV01063 Traffic Signal - Bunker &7th Ave 24.08 11/19/2021 0101-43400-62005 Check Total: 24.08 Vendor: CenLink CenturyLink Check Sequence: 4 ACH Enabled: False 763 755-0776 City Hall Service 28.74 11/19/2021 0101-41910-62030 763 755-0776 Public Works Service 28.74 11/19/2021 0101-41930-62030 763 755-0776 Fire Department Service 28.75 11/19/2021 010141920-62030 763 755-0776 Community Center Service 28.75 11/19/2021 2130-44000-62030 Check Total: 114.98 Vendor: ChetsSho Chet's Shoes, Inc. Check Sequence: 5 ACH Enabled: False LLC12187 Safety Boots for I. Baumunk 182.71 11/19/2021 0101-43100-61005 Check Total: 182.71 Vendor: CintasOK Cintas Corp - Cintas Loc #16K Check Sequence: 6 ACH Enabled: False 4101622635 Floor Mat Rental 70.55 11/19/2021 0101-41920-62200 4101622735 Uniform Clean & Shop Towels 98.62 11/19/2021 6100-48800-61020 4101622798 Uniform Cleaning 132.70 11/19/2021 0101-43100-61020 4101622798 Uniform Cleaning 18.96 11/19/2021 010143300-61020 4101622798 Uniform Cleaning 75.80 11/19/2021 010145000-61020 AP -Computer Check Proof List by Vendor (11/19/2021 - 1:59 PM) Page 1 Invoice No Description Amount Payment Date Acct Number Reference 4101622798 Uniform Cleaning 18.97 11/19/2021 5100-48100-61020 4101622798 Uniform Cleaning 37.90 11/19/2021 5200-08200-61020 4102385619 Floor Mat Rental 37.46 11/19/2021 0101-41910-622'00 Check Total: 490.96 Vendor: StPaulCi City of St. Paul Check Sequence: 7 ACE Enabled: False IN47363 Asphalt Mix 6,839.70 11/19/2021 0101-43100-61125 IN47456 Asphalt Mix 2,475.32 11/19/2021 0101-43100-61125 Check Total: 9,315.02 Vendor: Clareys Clarey's Safety Equipment Check Sequences 8 ACH Enabled: False 197061 Milwaukee M28 Battery 261.84 11/19/2021 0101-42200-61020 Check Total: 261.84 Vendor: ClChoicR Clear Choice Restoration Check Sequence: 9 ACH Enabled: False 150065798 Duplicate Permit 72.00 11/19/2021 0101-42300-52185 Check Total: 72.00 Vendor: CoreMain Core & Main LP Check Sequence: 10 ACH Enabled: False P958959 Meters 2,242.24 11/19/2021 5100-48100-61035 Check Total: 2,242.24 Vendor: Cues CUES Check Sequence: 11 ACE Enabled: False 599524 Labor for Repairs 3,036.90 11/19/2021 5200-48200-63100 Check Total: 3,036.90 i Vendor: DavisEqu Davis Equipment Corporation Check Sequence: 12 ACE Enabled: False EI15122 Parts for Unit #20-595 179.51 11/19/2021 6100-48800-61135 Check Total: 179.51 Vendor: Dickin7a James Dickinson Check Sequence: 13 ACH Enabled: False 2021 2021 Medical Flex Account 402.35 11/19/2021 0101-00000-21211 Check Total: 402.35 Vendor: Divisil6 Division 16 Electric, LLC Check Sequence; 14 ACE Enabled: False 5840 Replace Photocell & Replace Fixtures @FS3 1,046.50 11/19/2021 0101-41920-63105 AP -Computer Check Proof List by Vendor (11/19/2021 - 1:59 PM) Page 2 Invoice No Description Amount Payment Date Acct Number Reference Check Total: 1,046.50 Vendor: ECM ECM Publishers, Inc. Check Sequence: 15 ACH Enabled: False 861571 Tower Number Two Painting BIDS 281.25 11/19/2021 411049300-63025 861879 Monthly Recycling Program 260.00 11/19/2021 0101-46000-63025 862783 Nov 23 Haluptzok Variance PH 78.75 11/19/2021 010141500-63025 Check Total: 620.00 I Vendor: ForceAm Force America Distributing LLC Check Sequence: 16 ACH Enabled: False 001-1587139 Misc. Stock 584.70 11/19/2021 6100-48800-61115 Check Total: 584.70 Vendor: Grainger Grainger Check Sequence: 17 ACE Enabled: False 9100324293 Misc. Supplies 184.58 11/19/2021 2130-44000-61020 Check Total: 184.58 I Vendor: HIthPDen Health Partners Check Sequence: 18 ACH Enabled: False 108585858 December 2021 Premum 242.25 11/19/2021 620048900-63005 108585858 December 2021 Premium 273.12 11/19/2021 7100-00000-21218 108585858 December 2021 Premium 4,534.58 11/19/2021 0101-00000-21208 108585858 December 2021 Premium 71,012.82 11/19/2021 0101-00000-21206 Vendor: HenSchei 12508790 Vendor: HoffmanB 025527 Check Total: Henry Schein, Inc. Oximeter Pulse Fingertip Check Total: Hoffman Bros. Sod, Inc. Classic Bluegrass Sod Check Total: Vendor: Insight Insight Public Sector 1100888768 Dell OptiPlex 3080 - Micro - Core i5 76,062.77 Check Sequence: 19 ACH Enabled: False 52.90 11/19/2021 0101-42200-61020 52.90 Check Sequence: 20 ACH Enabled: False 146.25 11/19/2021 0101-45000-61130 146.25 Check Sequence: 21 ACH Enabled: False 751.54 11/19/2021 2130-44000-61020 Check Total: 751.54 Vendor: JohnCont Johnson Controls, Inc Check Sequence: 22 ACH Enabled: False 1-108155135814 Nov 2021 Maintenance Contract 1,256.00 11/19/2021 2130-04000-62300 I AP -Computer Check Proof List by Vendor (11/19/2021 - 1:59 PNO - Page 3 Invoice No Description Amount Payment Date Acct Number 1 Reference ACH Enabled: False ACH Enabled: False ACH Enabled: False ACH Enabled: False AP -Computer Check Proof List by Vendor (11/19/2021 - 1:59 PW Page 4 Check Total: 1,256.00 Vendor: KineotEG Kinect Energy Group Check Sequence; 23 335118/11171502 Community Center 15,173.97 11/19/2021 2130-44000-62615 335118/11171508 Public Works 1,265.38 11/19/2021 0101-41930-62015 Check Total: 16,439.35 Vendor: LennarBu Lennar Corporation Check Sequence: 24 1055 -Escrow 1055152nd Ave NW 5,250.00 11/19/2021 7200-00000-24204 1055-Insp Fee 1055152nd Ave NW -50.00 11/19/2021 0101-41600-541$0 1057 -Escrow 1057151st Ave NW 7,250.00 11/19/2021 7200-00000-24204 1057 -Imp Fee 1057151st AveNW -50.00 11/19/2021 0101-41600-54180 1082 -Escrow 1082151stAveNW 5,250.00 11/19/2021 7200-00000-24204 1082-Insp Fee 1082151stAveNW -50.00 11/19/2021 0101-41600-54180 1087 -Escrow 1087151stAveNW 7,250.00 11/19/2021 7200-00000-24204 1087-Insp Fee 1087151stAveNW -50.00 11/19/2021 0101-41600-54180 1088 - Escrow 1088 151st Lane NW 5,250.00 11/19/2021 7200-00000-24204 1088-Insp Fee 1088151st Lane NW -50.00 11/19/2021 0101-41600-54180 1159 -Escrow 1159151st Lane NW 5,250.00 11/19/2021 7200-00000-24204 1159 - Insp Fee 1159 151st Lane NW -50.00 11/19/2021 0101-41600-54180 Check Total: 35,200.00 Vendor: Loes Lee's Oil Company Check Sequence:25 88037 Recycling Oil Filters & Anti -Freeze 152.50 11/19/2021 010146000-63610 Check Total: 152.50 Vendor: MacgEmer Macqueen Emergency Group Check Sequence': 26 P05819 Credit for New Engine -1,087.50 11/19/2021 4180-49300-61020 P05876 Penntex Regular for Unit #4821 414.58 11/19/2021 6100-08800-61115 P05881 Svrimh for Unit #4886 225.33 11/19/2021 6100-48800-61115 P05896 Flat Axe 64.48 11/19/2021 010142200-61205 P05992 New Shelf for New Engine l 469.25 11/19/2021 0101-42200-61020 P05994 Bumper Rubber for Unit #4886 1758 11/19/2021 6100-08800-6115 P38113 Filter Cartridge for Unit#169 62.66 11/19/2021 610048800-61115 P38179 Hydraulic Cylin for Unit#525 242.09 11/19/2021 610048800-61175 W00330 Gem Repair 283.93 11/19/2021 0101-42200-61020 W00368 Gen Repair 19.68 11/19/2021 0101-42200-61020 W09192 Parts to Repair Unit #17-99 683.35 11/19/2021 610049800-61115 W09192 Labor to Repair Unit #17-99 534.75 11/19/2021 6100-48800-63135 ACH Enabled: False ACH Enabled: False ACH Enabled: False ACH Enabled: False AP -Computer Check Proof List by Vendor (11/19/2021 - 1:59 PW Page 4 Invoice No Description Amount Payment Date Acct Number i Reference 207510746001 PW Office Depot Supplies 7.44 207510746001 PW Office Depot Supplies 4.96 207510746001 Check Total: 1,930.18 207510746001 i I 3.47 Vendor: MauerMai Mauer Main Check Sequence. 27 ACH Enabled: False 5008190 Sensor for Unit #4824 288.08 11/19/2021 6100-48800-61115 Check Total: 288.08 Vendor: Menards Menards Inc Check Sequence: 28 ACH Enabled: False 61452 Misc. Supplies 33.06 11/19/2021 0101-05000-61020 61462 Air Filters 11.98 11/19/2021 0101-41930-61120 Check Total: 45.04 Vendor: Hickman Mickman Brothers Inc. Check Sequence' 29 ACH Enabled: False 6362 Lawn Contract @ City Hall 468.14 11/19/2021 0101-41910-630'10 6363 Lawn Contract @ Community Center 638.14 11/19/2021 2130-44000-63010 6364 Lawn Contract @ Crosstown Drive 225.57 11/19/2021 0101-45000-63010 6365 Lawn Contract @ Fire Station #1 547.57 11/19/2021 0101-41920-636.10 6366 Lawn Contract @ Fire Station #2 314.29 11/19/2021 0101-41920-636,10 6367 Lawn Contract @ Fire Station #3 330.39 11/19/2021 0101-41920-63610 Check Total: 2,524.10 Vendor: Minutema Minuteman Press 980594 Orange Electrical Labels 121.06 Check Total: 121.06 Vendor: MRCutEdg MR Cutting Edge 3909 Ice Scraper Blade Sharpening 61.00 Check Total: 61.00 Vendor: MYHold MY Holdings, Inc. 4249 Restroom Cleaning & Scrub Floors 362.00 4249 Restroom Cleaning & Scrub Floors 362.00 11/19/2021 11/19/2021 11/19/2021 11/19/2021 11/19/2021 11/19/2021 11/19/2021 11/19/2021 Check Sequence. 30 0101-42300-63030 i Check Sequence: 31 2130-44300-61620 I I Check Sequence: 32 0101-41980-630'10 0101-41970-630:10 i Check Sequence: 33 010143100-61005 ACH Enabled: False ACH Enabled: False ACH Enabled: False ACH Enabled: False AP -Computer Check Proof List by Vendor (11/19/2021 - 1:59 PM) Page 5 Check Total: 724.00 Vendor: OffDepot OfficeDepot 207510746001 PW Office Depot Supplies 7.44 207510746001 PW Office Depot Supplies 4.96 207510746001 PW Office Depot Supplies 17.37 207510746001 PW Office Depot Supplies 3.47 11/19/2021 11/19/2021 11/19/2021 11/19/2021 11/19/2021 11/19/2021 11/19/2021 11/19/2021 Check Sequence. 30 0101-42300-63030 i Check Sequence: 31 2130-44300-61620 I I Check Sequence: 32 0101-41980-630'10 0101-41970-630:10 i Check Sequence: 33 010143100-61005 ACH Enabled: False ACH Enabled: False ACH Enabled: False ACH Enabled: False AP -Computer Check Proof List by Vendor (11/19/2021 - 1:59 PM) Page 5 Invoice No Description Amount Payment Date Acct Number 207510746001 PW Office Depot Supplies 12.41 11/19/2021 5100-48100-61005 207510746001 PW Office Depot Supplies 23.82 11/19/2021 5200-48200-610105 210142317001 PW Office Depot Supplies 6.68 11/19/2021 0101-43100-61T:, 210142317001 PW Office Depot Supplies 4.46 11/19/2021 0101-43200-61005 210142317001 PW Office Depot Supplies 15.60 11/19/2021 0101-45000-61005 210142317001 PW Office Depot Supplies 3.12 11/19/2021 010146000-61005 210142317001 PW Office Depot Supplies 11.14 11/19/2021 5100-48100-610105 210142317001 PW Office Depot Supplies 21.40 11/19/2021 5200-48200-61005 I Check Total: 131.87 Vendor: OxySVeCo Oxygen Service Company Check Sequence: 34 0008481576 Parts for Unit#327 262.48 11/19/2021 6100-48800-61115 0008481586 Cable CovedEnduro-Flex Disc 554.78 11/19/2021 6100-48800-61020 0008481587 Parts for Unit#327 63.40 11/19/2021 6100-48800-61115 Check Total: 880.66 i Vendor: Plunkett Plunketes Pest Control, Inc. Check Sequence': 35 7314000 Pest Control @ Fire Station #1 129.79 11/19/2021 0101-41920-630.10 7314001 Pest Control @ Fire Station #2 129.79 11/19/2021 0101-01920-6360 7314041 Pest Control @ Fire Station #3 129.79 11/19/2021 0101-41920-630'10 Check Total: 389.37 Vendor: PriorCou Priority Courier Experts Check Sequence: 36 1421118 Fields of Winslow Cove 57.25 11/19/2021 7200-00000-24203 i Check Total: 57.25 Vendor: RESPEC RESPEC Check Sequence' 37 INV -1021-342 2021 On Site Support 482.00 11/19/2021 4140-49300-63005 INV -1021-342 2021 On Site Support 331.00 11/19/2021 2210-41600-63005 INV -1021-342 2021 On Site Support 32.50 11/19/2021 2220-41600-63005 INV -1021-342 2021 On Site Support 459.00 11/19/2021 2250-41600-63005 DW -1021-342 2021 On Site Support 482.00 11/192021 5100-48100-630,05 INV -1021-342 2021 On Site Support 482.00 11/19/2021 5200-48200-630105 INV -1021-342 2021 On Site Support 234.00 11/19/2021 530048300-63005 Reference ACH Enabled: False ACH Enabled: False ACH Enabled: False ACH Enabled: False I Check Total: 2,502.50 i Vendor S&SInd S & S Industrial Supply Check Sequence' 38 ACH Enabled: False 320492 Bridge Pin 26.70 11/192021 0101-45000-61020 i AP -Computer Check ProofListby Vendor (111192021- 1:59?K V Page Invoice No Description Amount Payment Date Acct Number Reference Check Total: 26.70 Vendor: SioValEn Sioux Valley Environmental Inc Check Sequence: 39 ACH Enabled: False 11305 SVENFLOC 1,890.00 11/19/2021 5100-48100-61040 Check Total: 1,890.00 Vendor: SnapOn Snap-On Industrial I Check Sequence 40 ACH Enabled: False ARV/50376200 Tools 416.43 11/19/2021 610048800-61205 I Check Total: 416.43 Vendor: SuperVis Superior Vision Insurance Check Sequence: 41 ACH Enabled: False - 0000580309 December 2021 Premium 192.46 11/19/2021 0101-00000-21222 i CheckTotal: 192.46 Vendor: TeamLab Team Lab Check Sequence: 42 ACH Enabled: False INVO028128 EZ Dose It&Super Bugs 5,926.50 11/19/2021 520048200-61110 Check Total: 5,926.50 Vendor: TGlndust TG Industries Inc Check Sequence: 43 ACH Enabled: False 078764 Rotation Shield for Unit#139 41.00 11/19/2021 6100-48800-61115 Check Total: 41.00 Vendor: THConstr TH Construction of Anoka, Inc. Check Sequencel: 44 ACH Enabled: False 14500 - Escrow 14500 Vale Street NW 7,250.00 11/19/2021 7200-00000-24204 14500 -Insp Fee 14500 Vale Street NW -50.00 11/19/2021 0101-41600-54180 Check Total: 7,200.00 I Vendor: Timesave Timesaver Check Sequence, 45 ACH Enabled: False M26853 City Council Meeting 151.00 11/19/2021 0101-41100-63005 Check Total: 151.00 Vendor: TruGreen TmGreen Check Sequence: 46 ACH Enabled: False 150199533 Fire Station #2 88.00 11/19/2021 0101-41920-63010 150199533 Veterans Memorial Blvd 708.00 11/19/2021 6100-48800-63010 150199533 Wellhouse#6 38.00 11/19/2021 5100-48100-63010 150199533 Wellhouse#7 42.00 11/19/2021 510048100-630110 150199533 Fire Station#3 98.00 11/19/2021 0101-41920-630110 AP -Computer Check Proof List by Vendor (11/19/2021 - 1:59 PND Page 7 i i i Invoice No Description Amount Payment Date Acct Number Reference 150199533 Lift Station #3 34.00 11/19/2021 150199533 Fire Station#1 202.00 11/192021 11/19/2021 150199533 Lift Station #4 34.00 11/19/2021 11/19/2021 150199533 Wellhouse#3 91.00 11/19/2021 11/19/2021 150199533 Wellhouse#1 225.00 11/19/2021 11/19/2021 150199533 Community Center 388.00 11/19/2021 11/19/2021 150199533 City Hall 361.50 11/19/2021 11/19/2021 150199533 Public Works 361.50 11/19/2021 11/192021 150199533 WTP 191.00 11/192021 Check Total: 1,160.23 5100-48100-63010 2130-44000-63010 0101-41910-630',10 0101-41930-63010 5100-48100-63010 i Check Sequences 47 610048800-61120 0101-41910-61120 0101-41930-61120 0101-41970-61120 0101-41980-61120 0101-41990-61120 5100-48100-61120 0101-41920-61120 i Check Sequence: 48 0101-46000-63010 4520-49300-62020 Vendor: WasMgmt2 Check Total: 2,862.00 Check Sequence: 49 Vendor: TCFilter Twin City Filter Service, Inc. 164.08 11/192021 0101-41910-62020 0712633 -IN Filters 441.16 11/19/2021 11/192021 0712634 -IN Filters 234.94 11/19/2021 11/19/2021 0712634 -IN Filters 100.08 11/19/2021 11/192021 0712634 -IN Filters 8.32 11/19/2021 11/19/2021 0712634 -IN Filters 43.48 11/19/2021 11/192021 0712634 -IN Filters 8.32 11/19/2021 11/19/2021 0712634 -IN Filters 100.07 11/192021 0712634 -IN Filters 63.03 11/19/2021 Check Total: 999.40 Vendor: WalterRR Walters Recycling & Refuse Inc 5697842 October 2021 Recycling Center 900.00 11/19/2021 5748552 1121 Rental Property Garbage Service 260.23 11/192021 Check Total: 1,160.23 5100-48100-63010 2130-44000-63010 0101-41910-630',10 0101-41930-63010 5100-48100-63010 i Check Sequences 47 610048800-61120 0101-41910-61120 0101-41930-61120 0101-41970-61120 0101-41980-61120 0101-41990-61120 5100-48100-61120 0101-41920-61120 i Check Sequence: 48 0101-46000-63010 4520-49300-62020 Vendor: WasMgmt2 Waste Management - Blaine Check Sequence: 49 9019958-0500-8 10/21 Garbage Service @ City Hall 164.08 11/192021 0101-41910-62020 9019965-0500-3 PW Garbage Disposal 423.53 11/19/2021 0101-41930-62020 9019965-0500-3 PW Garbage Disposal 334.36 11/19/2021 0101-45000-62020 9019965-0500-3 PW Garbage Disposal 1,471.19 11/19/2021 010146000-62020 9019968-0500-7 1021 Garbage Service @ FS #2 120.56 11/19/2021 0101-01920-62020 9019969-0500-5 1021 Garbage Service @ FS #1 119.68 11/19/2021 010141920-62020 9022246-0500-3 11/21 Garbage Service @ FS #3 202.12 11/19/2021 0101-41920-62020 Check Total: 2,835.52 ACH Enabled: False ACH Enabled: False ACH Enabled: False AP -Computer Check Proof List by Vendor (11/19/2021- 1:59 PM) Page 8. Invoice No Description Amount Payment Date Acct Number Reference Total for Check Run: 187,290.53 Total of Number of Checks: 49 i AP -Computer Check Proof List by Vendor (11/19/2021 - 1:59 Pion i Page 9 I Accounts Payable Computer Check Proof List by Vendor User: BrendaF Printed: 12/02/2021 - 12:06PM Batch: 00403.12.2021 Invoice No Description Amount Payment Date Acct Number Reference Vendor: ArrowFen Arrow Fence Company Check Sequence: 1 ACH Enabled: False 4214 Repair Outfield Fence Q Rose Park 1,700.00 12/032021 OI01-45000-63100 Check Total: 1,700.00 Vendor: BirchTre Birch Tree Care Check Sequence: 2 ACH Enabled: False 36045 EAB Management Program 356.40 12/03/2021 0101-45500-63005 Check Total: 356.40 Vendor: BitRoad Bituminous Roadways, Inc. Check Sequence: 3 ACH Enabled: False 00034901 Water Meter Deposit 1,300.00 12/03/2021 5100-00000-24201 00034901 Water Usage Pee -83.80 12/03/2021 5100-48100-55110 00034901 Meter Rental Fee -249.00 12/03/2021 5100-48100-55150 00034901 Water Sales Tax -5.97 12/032021 5100-00000-20301 Check Total: 961.23 Vendor: Boyerhn BoyerTmcks Check Sequence: 4 ACH Enabled: False 07PI114 Parts for Unit #4820 481.64 12/032021 610048800-61115 Check Total: 481.64 Vendor: BryanRoc Bryan Rock Products, Inc. Check Sequence: 5 ACH Enabled: False 51224 Red Ball Diamond 798.30 12/03/2021 010145000-61130 Check Total: 798.30 Vendor: ByeLorri Lorri Bye Check Sequence: 6 ACH Enabled: False 2021 2021 Medical Flex Account 667.47 12/03/2021 0101-00000-21211 Check Total: 667.47 Vendor: CaliHms Caliber Homes, Inc. Check Sequence: 7 ACH Enabled: False AP -Computer Check Proof List by Vendor (12/02/2021 - 12:06 PM) Page I Invoice No Description Amount Payment Date Acct Number Reference 16873 -Escrow 16873 Wintergreen Street NW 5,250.00 12/03/2021 7200-00000-24204 16873 -Insp Fee 16873 Wintergreen Street NW -50.00 12/03/2021 0101-41600-54180 Check Total: 5,200.00 Vendor: Centerpt CenterPoint Energy Check Sequence: 8 ACH Enabled: False 3001052931 Coon Creek Trunk Lift Station #11 7,278.00 12/03/2021 412049300-63010 Check Total: 7,278.00 Vendor: CenLmk CenturyLink Check Sequence: 9 ACH Enabled: False 763 754-6713 Subway @ Community Center 55.06 12/03/2021 213044100-62030 Check Total: 55.06 Vendor: ChetsSho Chefs Shoes, Inc. Check Sequence: 10 ACH Enabled: False 52039 Safety Boots - Chris Olson 106.00 12/03/2021 010143100-61005 Check Total: 106.00 Vendor: CimasGK Cintas Corp - Cintas Loc #16K Check Sequence: 11 ACH Enabled: False 4102385557 Floor Mat Rental 35.75 12/03/2021 0101-41930-62200 4102385615 Uniform Cleaning & Shop Towels 76.07 12/03/2021 610048800-61020 4102385812 Uniform Cleaning 132.70 12/03/2021 010143100-61020 4102385812 Uniform Cleaning 18.96 12/03/2021 0101-43300-61020 4102385812 Uniform Cleaning 75.80 12/03/2021 010145000-61020 4102385812 Uniform Cleaning 18.97 12/03/2021 510048100-61020 4102385812 Unifbrm Cleaning 37.90 12/03/2021 520048200-61020 4102978039 Uniform Cleaning & Shop Towels 109.87 12/03/2021 610048800-61020 4102978263 Uniform Cleaning 132.70 12/03/2021 0101-43100-61020 4102978263 Uniform Cleaning 18.96 12/03/2021 0101.43300-61020 4102978263 Uniform Cleaning 75.80 12/03/2021 010145000-61020 4102978263 Uniform Cleaning 18.97 12/032021 510048100-61020 4102978263 Uniform Cleaning 37.90 12/032021 520048200-61020 Check Total: 790.35 Vendor: CintasCo Cintas Corporation Check Sequence: 12 ACH Enabled: False 5084304553 Service First Aid Cabinet 50.22 12/03/2021 213044000-61020 Check Total: 50.22 Vendor: CMTDiver CMT Janitorial Services Check Sequence: 13 ACH Enabled: False 3625 Monthly Cleaning Service 1,257.88 12/032021 010141910-63010 AP -Computer Check Proof List by Vendor (12/022021 - 12:06 PM) Page 2 Invoice No Description Amount Payment Date Acct Number Reference 3625 Monthly Cleaning Service 1,043.12 12/03/2021 0101-41930-63010 3625 Monthly Cleaning Service 46020 12/03/2021 0101-41920-63010 3625 Monthly Cleaning Service 306.80 12/03/2021 610048800-63010 Check Total: 3,068.00 Vendor: Colonial Colonial Life & Accident Check Sequence: 14 ACH Enabled: False 71567061201092 December 2021 Premium -E7156706 279.90 12/03/2021 0101-00000-21210 Check Total: 279.90 Vendor: CommAspl Commercial Asphalt Co. Check Sequence: 15 ACH Enabled: False 211115 12.5MM WEAR REC 5.40%/4.40%, CM 159.61 12/03/2021 0101-43100-61125 Check Total: 159.61 Vendor: CoreMain Core & Main LP Check Sequence: 16 ACH Enabled: False P997534 5614L Lid 1 1/4 Upper 1 1/4 PE NT NUT 204.93 12/03/2021 5100-48100-61005 Check Total: 204.93 Vendor: CrosWood Crosstown Woods of Andover LLC Check Sequence: 17 ACH Enabled: False Escrow Villas @ Crosstown Woods 2nd 3,500.00 12/03/2021 7200-00000-24209 Interest Villas @ Crosstown Woods 2nd 0.28 12/03/2021 7200-41400-56910 Check Total: 3,50028 Vendor: Dalco Dalco Check Sequence: 18 ACH Enabled: False 3857188 Dustpan& Broom/Brown ToweVroilet Tissue 451.26 12/03/2021 2130-44000-61020 3860131 Dustpan Broom 56.78 12/03/2021 2130-44000-61020 Check Total: 508.04 Vendor: DickinJa James Dickinson Check Sequence: 19 ACH Enabled: False 2021 2021 Medical Flex Account 49.99 12/03/2021 0101-00000-21211 Check Total: 49.99 Vendor: Divisil6 Division 16 Electric, LLC Check Sequence: 20 ACH Enabled: False 5872 Install 2 Receptacles @ ACC Rink 1 251.50 12/03/2021 2130-44300-63105 5873 Trouble Shoot Receptacle for Cameras of Goals 385.00 12/03/2021 2130-44300-63105 Check Total: 636.50 Vendor: ECM ECM Publishers, Inc. Check Sequence: 21 ACH Enabled: False AP -Computer Check Proof List by Vendor (12/02/2021 - 12:06 PM) Page 3 Invoice No Description Amount Payment Date Acct Number Reference 863087 Andover Advocate -November 139.00 12/03/2021 010146000-63025 865139 Ordinance No. 526 Summary 95.63 12/03/2021 0101-42300-63025 Check Total: 234.63 Vendor: EganSery Egan Service Check Sequence: 22 ACH Enabled: False NINT0000020197 Andover Blvd & Crosstown RR Maint 557.50 12/03/2021 0101-43400-62300 Check Total: 557.50 Vendor: Fmttalo Fmttallone's Hardware Ste Check Sequence: 23 ACH Enabled: False 44110 Key Pundra 5.18 12/03/2021 0101-41920-61120 44231 Bar & Chain Oil 21.95 12/03/2021 0101143100-61020 44269 Trufuel 4 -Cycle 95.96 12/03/2021 0101-42200-61005 44303 Tools 23.07 12/03/2021 010142200-61205 Check Total: 146.16 Vendor: Grainger Grainger Check Sequence: 24 ACH Enabled: False 9118491845 Door Stops, Floor Mount 171.87 12/03/2021 213044300-61020 Check Total: 171.87 Vendor: GrtRvGre Great River Greening Check Sequence: 25 ACH Enabled: False 3388 Maple View Preserve Improvement 1,882.70 12/03/2021 010145500-63005 Check Total: 1,882.70 Vendor: GriessTr Tracey Griess Check Sequence: 26 ACH Enabled: False 2021 Soccer Coach 640.00 12/03/2021 213044400-63005 Check Total: 640.00 Vendor: GrovenCh Chris Grovenburg Check Sequence: 27 ACH Enabled: False Damage Deposit Damage Dep- 2556138th Ave NW #2 750.00 12/03/2021 4520-00000-24201 Check Total: 750.00 Vendor: HagforsT Ted Hagfors Inc. Check Sequence: 28 ACH Enabled: False 202119 2021 Electrical Inspections 3,342.75 12/03/2021 010142300-63005 Check Total: 3,342.75 Vendor: HansonLy Lynn Hanson Check Sequence: 29 ACH Enabled: False 2021 Leam to Skate Coach 312.00 12/03/2021 213044300-63005 AP -Computer Check Proof List by Vendor (12/02/2021 - 12:06 PM) Page 4 Invoice No Description Amount Payment Date Acct Number Reference AP -Computer Check Proof List by Vendor (12/02/2021 - 12:06 PM) Page 5 Check Total: 312.00 Vendor: Hawkma;2 Hawkins Inc Check Sequence: 30 ACH Enabled: False 6062953 Chemicals for Water Treatment Plant 3,878.75 12/03/2021 510048100-61040 Check Total: 3,878.75 Vendor: HeddEvel Evelyn Heddle Check Sequence: 31 ACH Enabled: False 2021 Lem to Skate Coach 147.50 12/03/2021 213044300-63005 Check Total: 147.50 Vendor: HeihnEli Elise Heihn Check Sequence: 32 ACH Enabled: False 2021 Soccer Coach 99.00 12/03/2021 2130-44400-63005 Check Total: 99.00 Vendor: HenSchei Henry Schein, Inc. Check Sequence: 33 ACH Enabled: False 13188160 Adscope-Lite 619 & Test Strips 158.38 12/03/2021 010142200-61020 Check Total: 158.38 Vendor: HowiesHo Howies Hockey Tape Check Sequence: 34 ACH Enabled: False INVO90240 Resale Items for Pro Shop 650.12 12/03/2021 2130-44200-61245 Check Total: 650.12 Vendor: InterBat Interstate All Battery Center Check Sequence: 35 ACH Enabled: False 1901201009688 Batteries 12.99 12/03/2021 010141920-61120 Check Total: 12.99 Vendor: KalmesAs Ashley Kalmes Check Sequence: 36 ACH Enabled: False 2021 Learn to Skate Coach 695.42 12/03/2021 213044300-63005 Check Total: 695.42 Vendor: LegShiel Legal Shield Check Sequence: 37 ACH Enabled: False 31833 Nov & Dec 2021 Premium 305.10 12/03/2021 0101-00000-21219 Check Total: 305.10 Vendor: MadNatlL Madison National Life Ins Co, Inc Check Sequence: 38 ACH Enabled: False 1469468 December 2021 LTD Premium 861.38 12/03/2021 0101-00000-21216 AP -Computer Check Proof List by Vendor (12/02/2021 - 12:06 PM) Page 5 Invoice No Description Amount Payment Date Acct Number Reference Check Total: 861.38 Vendor: MakeMove Make The Move Training, LLC Check Sequence: 39 ACE Enabled: False 21-11 Nozzle Flow Testing 350.00 12/03/2021 0101-42200-63010 Check Total: 350.00 Vendor: Marco Marco Technologies LLC Check Sequence: 40 ACH Enabled: False 458464898 HP 72600 Wide Format Copier 205.20 12/03/2021 0101-41500-62200 458464898 HP 72600 Wide Format Copier 205.20 12/03/2021 0101-41600-62200 458464898 HP T2600 Wide Format Copier 205.20 12/03/2021 0101-42300-62200 458464898 HP 72600 Wide Format Copier 524.40 12/032021 2210-41600-62200 Check Total: 1,140.00 Vendor: MauerMai Mauer Main Check Sequence: 41 ACH Enabled: False 5008232 Radiator for Unit #4825 391.14 12/03/2021 6100-48800-61115 5008255 Parts for Unit #4825 124.27 12/032021 6100-48800-61115 5008271 SILN-Brackets for Unit #13-94 253.66 12/03/2021 6100-48800-61115 Check Total: 769.07 Vendor: MCMulleG Gabrielle McMullen Check Sequence: 42 ACH Enabled: False 2021 Learn to Skate Coach 352.25 12/03/2021 2130-44300-63005 Check Total: 352.25 Vendor: Menards Menards Inc Check Sequence: 43 ACH Enabled: False 62323 Mise. Supplies 12.61 12/03/2021 2130-44300-61020 62460 Misc, Supplies 30.55 12/032021 0101-41910-61120 Check Total: 43.16 Vendor: Microsof Microsoft Corporation Check Sequence: 44 ACH Enabled: False E0700GS9N7 Online Services 103.56 12/03/2021 0101-41420-61320 Check Total: 103.56 Vendor: MillerJa Jacob Miller Check Sequence: 45 ACH Enabled: False 2021 Learn to Skate Coach 50.00 12/032021 2130-44300-63005 Check Total: 50.00 Vendor: MNLi£eln Minnesota Life Insurance Company Check Sequence: 46 ACE Enabled: False AP -Computer Check Proof List by Vendor (12/02/2021 - 12:06 PM) Page 6 Invoice No Description Amount Payment Date Acct Number Reference 0034706/221402 December 2021 Premium 19.83 12/03/2021 010142200-60330 0034706/221402 December 2021 Premium 44.08 12/03/2021 0101-00000-21205 0034706/221402 December 2021 Premium 76.76 12/03/2021 7100-00000-21218 0034706/221402 December 2021 Premium 1,584.25 12/03/2021 0101-00000-21205 Check Total: 1,724.92 Vendor: MRCutEdg MR Cutting Edge Check Sequence: 47 ACH Enabled: False 3960 Ice Scraper Blade Sharpening 38.00 12/03/2021 2130-44300-61020 Check Total: 38.00 Vendor: MTIDist MTI Distributing Inc Check Sequence: 48 ACH Enabled: False 1316550-00 Hydraulic Switch Kit for Unit #21-545 2,374.15 12/03/2021 4180-49300-65600 1329981-00 Credit for Sandpro Unit #21-545 -1,707.11 12/03/2021 4180-49300-65600 Check Total: 667.04 Vendor: NCPERS NCPERS Group Life Ins Check Sequence: 49 ACH Enabled: False 312000122021 December 2021 Premium 160.00 12/03/2021 0101-00000-21205 312000122021 December 2021 Premium 16.00 12/03/2021 7100-00000-21218 Check Total: 176.00 Vendor: NobleCon Noble Conservation Solutions, Inc. Check Sequence: 50 ACH Enabled: False 20214945 Replace Lenses 3,006.12 12/03/2021 2130-44400-63105 Check Total: 3,006.12 Vendor: NordquiL Lydia Nordquist Check Sequence: 51 ACH Enabled: False 2021 Soccer Coach 135.00 12/03/2021 2130-44400-63005 Check Total: 135.00 Vendor: NoTechno Northern Technologies, LLC Check Sequence: 52 ACH Enabled: False 40905 Coon Creek Trunk Lift Station#11 354.50 12/03/2021 412049300-63005 40908 Oakview Acres 1,984.50 12/03/2021 7200-00000-24203 Check Total: 2,339.00 Vendor: OPUS21 OPUS 21 Check Sequence: 53 ACH Enabled: False 211074 October 2021 Utility Billing 3,259.13 12/03/2021 5100-48100-63010 211074 October 2021 Utility Billing 3,666.11 12/03/2021 5200-48200-63010 211074 October 2021 Utility Billing 3,580.48 12/03/2021 010143600-63010 211074 October 2021 Utility Billing 5,139.71 12/03/2021 5300-48300-63010 AP -Computer Check Proof Listby Vendor (12(02(2021 -12:06 PM) Page 7 Invoice No Description Amount Payment Date Acct Number Reference AP -Computer Check Proof List by Vendor (12/02/2021 - 12:06 PM) Page 8 Check Total: 15,645.43 Vendor: OReiAuto O'Reilly Auto Parts Check Sequence: 54 ACH Enabled: False 3253-207635 Core Return -70.00 12/03/2021 6100-48800-61115 3253-208901 Oil & Air Filters 52.39 12/03/2021 6100-48800-61115 3253-209003 Core Return -10.00 12/03/2021 6100-48800-61115 3253-209003 Return Tow Strap -32.99 12/03/2021 6100-48800-61020 3253-210191 11 Oz Lubricant 55.92 12/03/2021 6100-48800-61020 3253-210792 Fuel & Air Filters 56.27 12/03/2021 6100-48800-61115 3253-211043 Oil & Hydra Filters 10.65 12/03/2021 610048800-61115 3253-211043 Drop Light 32.99 12/03/2021 6100-48800-61205 3253-211917 4 Cycle Fuel 143.94 12/03/2021 0101-42200-61005 Check Total: 239.17 Vendor: OveromAl Ally Overom Check Sequence: 55 ACH Enabled: False 2021 Soccer Coach 207.25 12/03/2021 2130-44400-63005 Check Total: 207.25 Vendor: OxySvcCo Oxygen Service Company Check Sequence: 56 ACH Enabled: False 0008485949 Misc. Supplies 73.25 12/03/2021 6100-48800-61020 Check Total: 73.25 Vendor: PallowCh Chloe Pallow Check Sequence: 57 ACH Enabled: False 2021 Soccer Coach 168.00 12/03/2021 2130-44400-63005 Check Total: 168.00 Vendor: Plunkett Plunkett's Pest Control, Inc. Check Sequence: 58 ACH Enabled: False 7233455 Pest Control @ City Hall 162.24 12/03/2021 0101-41910-63010 7233456 Pest Control @ Public Works 162.24 12/03/2021 0101-41930-63010 7234409 Pest Control @ WTP 163.00 12/03/2021 5100-48100-63010 7316513 Pest Control @ City Hall 129.79 12/03/2021 0101-41910-63010 7316514 Pest Control @ Public Works 129.79 12/03/2021 010141930-63010 7317330 Pest Control @ WTP 130.00 12/03/2021 5100-48100-63010 7320070 Pest Control @ Vehicle Maintenance 129.79 12/03/2021 6100-48800-63010 7320071 Pest Control @ Cold Storage 129.79 12/032021 0101-41940-63010 7320677 Pest Control @ Comm Ctr 72.52 12/03/2021 2130-44000-63010 Check Total 1,209.16 AP -Computer Check Proof List by Vendor (12/02/2021 - 12:06 PM) Page 8 Invoice No Description Amount Payment Date Acct Number Reference Vendor: PowElSvc Powerhouse Electric Services LLC Check Sequence: 59 ACH Enabled: False 148516412 Refund Permit - Never did Job 133.60 12/03/2021 0101-42300-52230 Check Total: 133.60 Vendor: PreCise PreCise MRM LLC Check Sequence: 60 ACH Enabled: False 200-1033868 Software License 52.00 12/03/2021 0101-43100-61320 200-1033868 Software License 156.47 12/03/2021 0101-43200-61320 200-1033868 Software License 70.00 12/03/2021 510048100-61320 200-1033868 Software License 70.00 12/03/2021 520048200-61320 Check Total: 348.47 Vendor: PrintCen Print Central Check Sequence: 61 ACH Enabled: False 143017 Cover Coated Booklet for Plow Routes 234.29 12/03/2021 0101-43200-61020 143109 Lamination 60.00 12/03/2021 010141600-61005 Check Total: 294.29 Vendor: PriorCou Priority Courier Experts Check Sequence: 62 ACH Enabled: False 1422901 Fields of Winslow Cove 57.25 12/03/2021 7200-00000-24203 Check Total: 57.25 Vendor: RandyEnv Randy's Environmental Services Check Sequence: 63 ACH Enabled: False Replace Lost Check Number 61142 950.81 12/03/2021 0101-46000-63010 Check Total: 950.81 Vendor: RoyalTi Royal Tire Inc Check Sequence: 64 ACH Enabled: False 108-171819 Tires for Unit #4827 592.28 12/03/2021 6100-48800-61115 Check Total: 592.28 Vendor: RumRivTr Rum River Tree Farm & Nurs Check Sequence: 65 ACH Enabled: False 21-2867 Tree Purchase for 14388 Juniper Street 295.00 12/03/2021 7200-00000-24204 Check Total: 295.00 Vendor: SchmidtE Elizabeth Schmidt Check Sequence: 66 ACH Enabled: False 2021 Soccer Coach 135.00 12/03/2021 213044400-63005 Check Total: 135.00 Vendo, SchroedB Bella Schroeder Check Sequence: 67 ACH Enabled: False AP -Computer Check Proof List by Vendor (12/02/2021 - 12:06 PK Page 9 Invoice No Description 2021 Reference Soccer Coach 12/03/2021 2130-44400-63005 Check Total: Vendor: SheelKai Kaia Sheeley 2021 Learn to Skate Coach Check Sequence: 68 ACH Enabled: False Check Total: Vendor: SWTri2 Star Tribune 10962115 12/5/21 -01/02/22 -Mad Subscription Check Total: Vendor: StockeBr Briana Stroke 2021 0101-41200-61320 Soccer Coach 24.54 Check Total: Vendor: SupSolut Supply Solutions LLC 34794 ACH Enabled: False Urinal Floor Mat 12/03/2021 2130-4400-63005 Check Total: Vendor: TahoSpl Taho Sportswear, Inc. 21TS4611 Embroidery On Jackets Check Sequence: 71 ACH Enabled: False Check Total: Vendor: Theco Theco, Inc. O1-31962 Screener, Shredder, Wheel, 2 -Deck Model Check Totah Vendor: ThorsteS Stella Thorstenson 2021 2130-44000-61020 Soccer Coach 38.00 Check Total: Vendor: TotalCon Total Control Systems, Inc 9950 ACH Enabled: False Labor to Connect New Chemical Pump 9950 0101-43100-62200 Labor for Submersible Level Transmitter Check Total Amount Payment Date Acct Number Reference 102.00 12/03/2021 2130-44400-63005 102.00 Check Sequence: 68 ACH Enabled: False 214.48 12/03/2021 2130-44300-63005 214.48 Check Sequence: 69 ACH Enabled: False 24.54 12/032021 0101-41200-61320 24.54 Check Sequence: 70 ACH Enabled: False 168.00 12/03/2021 2130-4400-63005 168.00 Check Sequence: 71 ACH Enabled: False 59.69 12/03/2021 0101-41930-61025 59.69 Check Sequence: 72 ACH Enabled: False 38.00 12/032021 2130-44000-61020 38.00 Check Sequence: 73 ACH Enabled: False 6,800.00 12/03/2021 0101-43100-62200 6,800.00 Check Sequence: 74 ACH Enabled: False 66.00 12/032021 213044400-63005 66.00 Check Sequence: 75 ACH Enabled: False 2,320.55 12/03/2021 5100-48100-63115 1,262.77 12/03/2021 5200148200-63100 AP -Computer Check Proof List by Vendor (12/02/2021 - 12:06 PM) Page 10 Invoice No Description Amount Payment Date Acct Number Reference Vendor: Toth3echS Total Mechanical Services, Inc 62.65 12/03/2021 Check Sequence: 76 ACH Enabled: False 81875 Labor for Nordic Pump 2,742.21 12/03/2021 2130-44300-63105 9892723408 Monthly Check Total: 2,742.21 12/03/2021 2130-44000-62030 9892723408 Vendor: TCPropMt Twin Cities Property Maintenance Inc 76.80 12/03/2021 Check Sequence: 77 ACH Enabled: False 17701 Snow Service @ Rental Properties 1,764.00 12/03/2021 4520-49300-63010 9892723408 Monthly Check Total: 1,764.00 12/03/2021 010141400-62030 9892723408 Vendor: UhlCompa Uhl Company 305.23 12/03/2021 Check Sequence: 78 ACH Enabled: False 65869 Maintenance Contract 09/01/21 -12/31/21 2,898.13 12/03/2021 213044000-62300 9892723408 Monthly Check Total: 2,898.13 12/03/2021 010145000-62030 9892723408 Vendor: Uline Uline 123.75 12/03/2021 Check Sequence: 79 ACH Enabled: False 141217384 Misc. Supplies 580.49 12/03/2021 2130-44400-61020 9892723408 Monthly Cbeck Total: 580.49 12/03/2021 010143100-62030 9892723408 Vendor: USBankEq US Bank Equipment Finance 131.00 12/03/2021 Check Sequence: 80 ACH Enabled: False 458079613 Taskalfa 4003I Copier @ Public Works 183.03 12/03/2021 0101-41930-62200 458682176 Ricoh Copier Lease @ Bldg Dept 138.03 12/03/2021 0101-42300-62200 458682176 Ricoh Copier Lease @ City Hall 270.63 12/03/2021 0101-41420-62200 458682176 Ricoh Copier Lease @ Comm Ctr 126.05 12/03/2021 2130-44000-62200 458682176 Ricoh Copier Lease @ FS #1 130.29 12/03/2021 0101142200-62200 458682176 Ricoh Copier Lease @ WTP 75.00 12/03/2021 5100-48100-62200 Check Total: 923.03 Vendor: Verizon Verizon Wireless Check Sequence: 81 ACH Enabled: False 9892723408 Monthly Cell Phone Service 62.65 12/03/2021 0101-41200-62030 9892723408 Monthly Cell Phone Service 203.77 12/03/2021 0101-42300-62030 9892723408 Monthly Cell Phone Service 162.25 12/03/2021 2130-44000-62030 9892723408 Monthly Cell Phone Service 76.80 12/03/2021 0101-41500-62030 9892723408 Monthly Cell Phone Service 309.66 12/03/2021 0101-41600-62030 9892723408 Monthly Cell Phone Service 57.65 12/03/2021 010141400-62030 9892723408 Monthly Cell Phone Service 305.23 12/03/2021 010142200-62030 9892723408 Monthly Cell Phone Service 446.23 12/03/2021 010141420-62030 9892723408 Monthly Cell Phone Service 1,378.29 12/03/2021 010145000-62030 9892723408 Monthly Cell Phone Service 123.75 12/03/2021 520048200-62030 9892723408 Monthly Cell Phone Service 503.74 12/03/2021 010143300-62030 9892723408 Monthly Cell Phone Service 293.75 12/03/2021 010143100-62030 9892723408 Monthly Cell Phone Service 131.00 12/03/2021 610048800-62030 AP -Computer Check Proof List by Vendor (12/02/2021 - 12:06 PM) Page 11 Invoice No Description Amount Payment Date Acct Number Reference 9892723408 Monthly Cell Phone Service 9892723408 Monthly Cell Phone Service 757.86 12/03/2021 5100-48100-62030 41.25 12/03/2021 0101-41910-62030 ACH Enabled: False ACE Enabled: False ACE Enabled: False AP -Computer Check Proof List by Vendor (12/02/2021 - 12:06 PM) Page 12 Check Total: 4,853.88 Vendor: WalterRR Walters Recycling & Refuse Inc Check Sequence: 82 5748841 November 2021 Recycling Service 3,121.96 12/03/2021 0101-46000-63010 Check Total: 3,121.96 Vendor: WaterLog Waterlogic Americas LLC Check Sequence: 83 1006651 Water Cooler Rental @ City Hall 149.55 12/03/2021 0101-41910-62200 1006652 Water Cooler Rental @ Public Works 279.17 12/03/2021 0101-41930-62200 1006793 Water Cooler Rental @ Fire Station #1 129.62 12/03/2021 0101-42200-62200 Check Total: 558.34 Vendor: WellsFar Wells Fargo Bank Check Sequence: 84 CPA Certification Renewal 27.00 12/03/2021 0101-41200-61320 MN Attorney General Fee 25.62 12/03/2021 0101-41200-61320 Software 117.95 12/03/2021 0101-41200-61005 Form 990 for the Current Tax Year 2020 200.85 12/03/2021 0101-41200-61005 Postage 66.94 12/03/2021 5200-48200-61405 Misc. Supplies 233.16 12/03/2021 0101-45000-61105 2021 MSA Fall Conference Registration 855.00 12/03/2021 0101-43100-61315 Misc. Supplies 729.96 12/03/2021 0101-43100-61020 Commercial Disposal 192.00 12/03/2021 0101-43100-63010 Misc. Supplies 31.32 12/03/2021 0101-42200-61005 DPS Firefighter Licenses 450.00 12/03/2021 0101-42200-61315 Registration for Conference 325.00 12/03/2021 0101-42200-61315 Hotel & Meals for Conference 1,865.56 12/03/2021 0101-42200-61310 Subscription- Plumbing Codes 334.62 12/03/2021 0101-42300-61325 Subscription 35.00 12/03/2021 0101143200-61325 Pop 43.26 12/03/2021 7100-00000-24208 Licenses 299.00 12/03/2021 0101-41420-61320 Laptop for Building Department 1,254.98 12/03/2021 0101-41420-61210 Misc. Supplies 1,716.89 12/03/2021 6100-48800-61115 Misc. Supplies 85.81 12/03/2021 6100-48800-61020 Registration for Conference 669.50 12/03/2021 0101-41600-61315 Hotel for Conference 1,739.70 12/03/2021 0101-42200-61310 Misc. Supplies 21.40 12/03/2021 0101-42200-61020 Parts for Unit #T-551 & Stock 551.97 12/03/2021 6100-48800-61115 Membership Dues 45.67 12/03/2021 2130-44000-61320 ACH Enabled: False ACE Enabled: False ACE Enabled: False AP -Computer Check Proof List by Vendor (12/02/2021 - 12:06 PM) Page 12 Invoice No Description Amount Payment Date Acct Number Reference Total for Check Run: 123,067.27 Total of Number of Checks: 87 AP -Computer Check Proof List by Vendor (12/02/2021 - 12:06 PM) Page 13 Mise. Supplies 349.14 12/03/2021 2130-44400-61020 Misc. Supplies 279.31 12/03/2021 2130-44000-61020 Misc. Supplies 400.26 12/03/2021 2130-44400-61020 Check Total: 12,946.87 Vendor: WmckSew Wmck Sewer and Portable Rental Check Sequence: 85 ACH Enabled: False 9858 Portable Toilet Rental - Soccer 450.50 12/03/2021 0101-00000-24201 9858 Portable Toilet Rental - ABA 58.50 12/03/2021 0101-00000-24201 9858 Portable Toilet Rental - City 1,718.50 12/03/2021 010145000-62200 9859 Portable Toilet Rental - Soccer 509.00 12/03/2021 0101-00000-24201 9859 Portable Toilet Rental - ABA 117.00 12/03/2021 0101-00000-24201 9859 Portable Toilet Rental - City 2,308.00 12/03/2021 0101-45000-62200 Check Total: 5,161.50 Vendor: WSB WSB & Associates, Inc. Check Sequence: 86 ACH Enabled: False R-015803-000-16 Risk& Resilience Assess - Water 3,096.00 12/03/2021 5100-48100-63005 Check Total: 3,096.00 Vendor: Zynnovat Zynnovation LLC Check Sequence: 87 ACH Enabled: False 2164 TreeDiaper, Round Shape, PolyBagged 423.58 12/03/2021 0101-45000-63005 Check Total: 423.58 Total for Check Run: 123,067.27 Total of Number of Checks: 87 AP -Computer Check Proof List by Vendor (12/02/2021 - 12:06 PM) Page 13 Accounts Payable Computer Check Proof List by Vendor User: BrendaF Printed: 12/02/2021 - 1:58PM Batch: 00407.12.2021 Invoice No Description j- y Amount Payment Date Acct Number ACITY a� ND6VERM Reference Vendor: AlliedBI Allied Blacktop Co. Check Sequence: I ACH Enabled: False Payment #2 2021 Crack Sealing 5,520.55 12/072021 4140-49300-63010 Payment #2 2021 Parking Lot Maintenance 132.54 12/07/2021 4160-49300-63010 Check Total: 5,653.09 Vendor: AlliedBI Allied Blacktop Co. Check Sequence: 2 ACH Enabled: False Payment#2 2021 Trail Maintenance 669.24 12/07/2021 4141-49300-63010 Payment #2 2021 Parking Lot Mainteance 188.76 12/07/2021 4160-49300-63010 Check Total: 858.00 Vendor: CorMaLLC Core & Main, LLC Check Sequence: 3 ACH Enabled: False Payment #2 AMI - Adv Metering Infrastructure 414,117.20 12/072021 510048100-63010 Check Total: 414,117.20 Vendor: MNDOH Minnesota Department of Health Check Sequence: 4 ACH Enabled: False 1020034 2021 4th Qtr Water Connection Fee 17,046.00 12/07/2021 5100-48100-63050 Check Total: 17,046.00 Vendor: NoValley North Valley, Inc. Check Sequence: 5 ACH Enabled: False Pymt #3 - Final Prairie Knoll Park PLan 8,291.09 12/072021 4150-49300-63010 Pymt #3 - Final Tom Andover Trail Maint Improvement 9,507.00 12/072021 4140-49300-63010 - Check Total: 17,798.09 Vendor: SirLines Sir Lines -A -Lot Check Sequence: 6 ACH Enabled: False Pymt#1 -Final 2021 Pavement Markings 41,136.01 12/07/2021 4140119300-63010 Check Total: 41,136.01 AP -Computer Check Proof List by Vendor (12102/2021 - 1:58 PM) Page 1 Invoice No Description Amount Payment Date Acct Number Reference Total for Check Run: 496,608.39 Total of Number of Checks: AP -Computer Check Proof List by Vendor (12/02/2021 - 1:58 PK Page 2 • (ANDOVE 1685 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV TO: Mayor and Council Members CC: Jim Dickinson, City Administrat�D3 David Berkowitz, Director of P lic WorCityginee FROM: Jason Law, Assistant City Engineer SUBJECT: Order Feasibility Report/22-15/2022 Mill & Overlay/Chesterton Commons Area and Fox Hollow Area - Engineering DATE: December 7, 2021 INTRODUCTION The City Council is requested to order the preparation of a feasibility report for Project 22-15, 2022 Mill & Overlay - Chesterton Commons Area and Fox Hollow Area. DISCUSSION Identified in the City's 2022-2026 Capital Improvement Plan is a mill and overlay of the streets in the central portion of the City as identified on the attached location maps. The surface of the streets in these areas has been striping away, and a mill and overlay is the best course of action to correct this deterioration. The project will include milling off the existing bituminous wearing course and paving a new bituminous wearing course over the existing roadway. While the road is under construction, select water main valves will be exposed and replacements made to bolts that are not stainless steel as the City has experienced valve failures and leaks in water mains of similar age. Public Works has identified approximately 12 valves for bolt replacement. It is anticipated that this project will extend the life of the roadway another 15+ years before a reconstruction would be considered. Staff is planning on sending out letters to the impacted properties this winter and meeting them on an individual basis, if requested by the owners, in lieu of scheduling a neighborhood informational meeting. BUDGETIMPACT The project would be funded from the City's Road & Bridge Fund with twenty-five percent (25%) of the total project costs for the roadway improvements to be assessed to the benefiting properties as identified in the City's Roadway Reconstruction Assessment Policy. All costs associated with replacement of water main valve bolts will be funded by the Trunk Water Fund. ACTION REQUIRED The City Council is requested to order the preparation of a feasibility report for Project 22-15, 2022 Mill & Overlay - Chesterton Commons Area and Fox Hollow Area. Res ectfully ubmitted, Jason J. Law, P.E. Attachments: Resolution, Location Maps CITY OF ANDOVER COUNTY OF ANOKA STATE OF MINNESOTA RES. NO. MOTION by Council member to adopt the following: A RESOLUTION ORDERING PREPARATION OF A FEASIBILITY REPORT FOR THE IMPROVEMENT OF PROJECT 22-15 2022 MILL & OVERLAY — CHESTERTON COMMONS AREA AND FOX HOLLOW AREA. WHEREAS, the City Council of the City of Andover is cognizant of the need for the improvements, specifically Project 22-15; and WHEREAS, the City Council proposes to assess the benefiting properties for all or a portion of the costs of the improvements, pursuant to Minnesota Statutes 429. NOW, THEREFORE, BE IT RESOLVED by the City Council of the City of Andover that: 1. The City Council is cognizant of the need for improvements. 2. The proposed improvement is hereby referred to the Director of Public Works/City Engineer and he is instructed to provide the City Council with a feasibility report. MOTION seconded by Council member and adopted by the City Council at a regular meeting this 7th day of December , 2021 , with Council members in favor of the resolution, and Council members voting against, whereupon said resolution was declared passed. CITY OF ANDOVER ATTEST: Sheri Bukkila - Mayor Michelle Hartner — Deputy City Clerk voting Capital Improvement Plan (2022) Project Name: STREET MILL & OVERLAY CHESTERTON COMMONS, CAMBRIDGE ESTATES, SOPHIES MANOR, WOODLAND OAKS, & RED PINE Legend QProject Location Lots/Parcels 0 Water ® City Limits Da rnmt Path N W E S 600 1,200 1,800 MiiiiiTTM Feet Capital Improvement Plan Project Name: STREET MILL & OVERLAY FOX HOLLOW (2022) Legend Project Location Lots/Parcels ® Park Water ® City Limits N W E S zoo 400 600 Qn Feet 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV TO: Mayor and Council Members ` CC: Jim Dickinson, City Administrator David Berkowitz, Director of Public FROM: Jason Law, Assistant City Engineer \\ SUBJECT: Order Feasibility Report/22-16/2022 Engineering DATE: December 7, 2021 / City Engineer & Overlay/Andover Bouelvard NW - INTRODUCTION The City Council is requested to order the preparation of a feasibility report for Project 22-16, 2022 Mill & Overlay - Andover Boulevard NW. DISCUSSION Identified in the City's 2022-2026 Capital Improvement Plan is a mill and overlay of Andover Boulevard NW from Crosstown Boulevard NW to Hummingbird Street NW as identified on the attached location map. The surface of the street in this area has been striping away, and a mill and overlay is the best course of action to correct this deterioration. The project will include milling off the existing bituminous wearing course and paving a new bituminous wearing course over the existing roadway. It is anticipated that this project will extend the life of the roadway another 15+ years before a reconstruction would be considered. Staff is planning on sending out letters to the impacted properties this winter and meeting them on an individual basis, if requested by the owners, in lieu of scheduling a neighborhood informational meeting. BUDGETIMPACT The project would be funded from the City's Road & Bridge Fund with twenty-five percent (25%) of the total project costs for the roadway improvements to be assessed to the benefiting properties as identified in the City's Roadway Reconstruction Assessment Policy. ACTION REQUIRED The City Council is requested to order the preparation of a feasibility report for Project 22-16, 2022 Mill & Overlay - Andover Boulevard NW. Respectfully submitted, V Mason J. Law, P.E. Attachments: Resolution, Location Map/ CITY OF ANDOVER COUNTY OF ANOKA STATE OF MINNESOTA RES. NO. MOTION by Council member to adopt the following: A RESOLUTION ORDERING PREPARATION OF A FEASIBILITY REPORT FOR THE IMPROVEMENT OF PROJECT 22-16,2022 MILL & OVERLAY — ANDOVER BOULEVARD NW. WHEREAS, the City Council of the City of Andover is cognizant of the need for the improvements, specifically Project 22-16; and WHEREAS, the City Council proposes to assess the benefiting properties for all or a portion of the costs of the improvements, pursuant to Minnesota Statutes 429. NOW, THEREFORE, BE IT RESOLVED by the City Council of the City of Andover that: 1. The City Council is cognizant of the need for improvements. 2. The proposed improvement is hereby referred to the Director of Public Works/City Engineer and he is instructed to provide the City Council with a feasibility report. MOTION seconded by Council member and adopted by the City Council at a regular meeting this 7th day of December , 2021 , with Council members in favor of the resolution, and Council members voting against, whereupon said resolution was declared passed. CITY OF ANDOVER ATTEST: Sheri Bukkila - Mayor Michelle Hartner— Deputy City Clerk voting Capital Improvement Plan (2022) Project Name: MUNICIPAL STATE AID ROUTES / MILL& OVERLAY ANDOVER BLVD FROM HUMMINGBIRD ST TO CROSSTOWN BLVD Legend Project Location Lots/Parcels ® Park Water ® City Limits Dwvmml Pelh:H:U;leEale�EnpineehiplPmpgs',CIP_2021.mxC N W E S 0 250 500 750 Fmt 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV TO: CC: FROM: SUBJECT: DATE: Mayor and Council Members Jim Dickinson, City Administrator David Berkowitz, Director of PuW Jason Law, Assistant City Engineer City Engineer1�0 Order Feasibility Report/22-17/2022 Mill & Overlay/Bluebird Street NW - Engineering December 7, 2021 INTRODUCTION The City Council is requested to order the preparation of a feasibility report for Project 22-17, 2022 Mill & Overlay - Bluebird Street NW. DISCUSSION Identified in the City's 2022-2026 Capital Improvement Plan is a mill and overlay of Bluebird Street NW from Hanson Boulevard NW to Crosstown Boulevard NW as identified on the attached location map. The surface of the street in this area has been striping away, and a mill and overlay is the best course of action to correct this deterioration. The project will include milling off the existing bituminous wearing course and paving a new bituminous wearing course over the existing roadway. While the road is under construction, select water main valves will be exposed and replacements made to bolts that are not stainless steel as the City has experienced valve failures and leaks in water mains of similar age. It is anticipated that this project will extend the life of the roadway another 15+ years before a reconstruction would be considered. Staff is planning on sending out letters to the impacted properties this winter and meeting them on an individual basis, if requested by the owners, in lieu of scheduling a neighborhood informational meeting. BUDGETIMPACT The project would be funded from the City's Road & Bridge Fund with twenty-five percent (25%) of the total project costs for the roadway improvements to be assessed to the benefiting properties as identified in the City's Roadway Reconstruction Assessment Policy. All costs associated with replacement of water main valve bolts will be funded by the Trunk Water Fund. ACTION REQUIRED The City Council is requested to order the preparation of a feasibility report for Project 22-17, 2022 Mill & Overlay - Bluebird Street NW. Yon Octed, J. Law, P.E. Attachments: Resolution Location Map CITY OF ANDOVER COUNTY OF ANOKA STATE OF MINNESOTA RES. NO. MOTION by Council member to adopt the following: A RESOLUTION ORDERING PREPARATION OF A FEASIBILITY REPORT FOR THE IMPROVEMENT OF PROJECT 22-17,2022 MILL & OVERLAY - BLUEBIRD STREET NW. WHEREAS, the City Council of the City of Andover is cognizant of the need for the improvements, specifically Project 22-17; and WHEREAS, the City Council proposes to assess the benefiting properties for all or a portion of the costs of the improvements, pursuant to Minnesota Statutes 429. NOW, THEREFORE, BE IT RESOLVED by the City Council of the City of Andover that: 1. The City Council is cognizant of the need for improvements. 2. The proposed improvement is hereby referred to the Director of Public Works/City Engineer and he is instructed to provide the City Council with a feasibility report. MOTION seconded by Council member and adopted by the City Council at a regular meeting this 71h day of December , 2021 , with Council members in favor of the resolution, and Council members voting against, whereupon said resolution was declared passed. CITY OF ANDOVER ATTEST: Sheri Bukkila - Mayor Michelle Hartner— Deputy City Clerk voting Capital Improvement Plan Project Name: MUNICIPAL STATE AID ROUTES I MILL & OVERLAY BLUEBIRD ST FROM CROSSTOWN BLVD TO HANSON BLVD (2022) Legend `f Project Location 0 Lots/Parcels Water ® City Limits D Mwt Path: HAGMata�NineenNq jOUSUP—OM1.mxd 0 0 100 200 300 400 Feet Location Map S;V&D 0 V E 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV TO: CC: FROM: SUBJECT: 17rY� Mayor and Council Members Jim Dickinson, City Administrator David Berkowitz, Director of Publi'oWo�ks / City Engineer Order Improvement/22-18/Pine Hills North & Pine Hills South Parking Lot Paving - Engineering December 7, 2021 INTRODUCTION The City Council is requested to order the improvement of Project 22-18, Pine Hills North & Pine Hills South Parking Lot Paving. DISCUSSION Identified in the 2022-2026 Andover Capital Improvement Plan (CIP) is the paving construction of Pine Hills North and Pine Hills South parking lots. The City will contract with WSB to do the design, staking and construction coordination for the paving improvements. BUDGETIMPACT The CIP identifies two different projects. The first is Pine Hills North paving with a project budget of $400,000 in which $280,000 will be funded by the Capital Equipment Reserve Fund and the remaining $120,000 from Park Dedication Funds. Pine Hills South paving project budget is $67,000 to a be funded through Park Dedication Funds. ACTION REQUIRED The City Council is requested to order the improvement of Project 22-18, Pine Hills North & Pine Hills South Parking Lot Paving. Respectfully submitted, David D. Berkowitz, P.E. Attachments: Resolution, Location Maps CITY OF ANDOVER COUNTY OF ANOKA STATE OF MINNESOTA RES. NO. MOTION by Councilmember to adopt the following: A RESOLUTION ORDERING IMPROVEMENT AND DIRECTING PREPARATION OF PLANS AND SPECIFICATIONS FOR THE IMPROVEMENT OF PROJECT NO. 22-18, PINE HILLS NORTH & PINE HILLS SOUTH PARKING LOT PAVING. WHEREAS, the City Council is cognizant of the need for the improvements; and NOW, THEREFORE BE IT RESOLVED by the City Council to order the improvement of Pine Hills North & Pine Hills South Parking Lot Paving Project 22-18; and BE IT FURTHER RESOLVED by the City Council to hereby direct WSB to prepare the plans and specifications for such improvement project. MOTION seconded by Councilmember and adopted by the City Council at a regular meeting this 7th day of December , 2021 , with Councilmembers in favor of the resolution, and Councilmembers voting against, whereupon said resolution was declared passed. CITY OF ANDOVER ATTEST: Sheri Bukkila - Mayor Michelle Hartner — Deputy City Clerk voting Capital Improvement Plan Project Name: PINE HILLS NORTH - PHASE II PARKING LOT IMPROVEMENT PINE HILLS NORTH (2022) Legend Project Location Lots/Parcels ® Park Water ® City Limits Document Path: H9Gsdatat ngi metlngt mledsVF 2021_"rk .mxd 0 0 100 200 300 Feet Capital Improvement Plan Project Name: PINE HILLS SOUTH PARKING LOT PAVING PINE HILLS SOUTH (2022) Legend Project Location = Lots/Parcels ® Park Water ® City Limits Da Ment Path: N W E S 100 200 300 MiiiiiMMM Feet IF D o • : ��- mm�qwgwp 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 . WWW.ANDOVERMN.GOV TO: Mayor and Council Members CC: Jim Dickinson, City Administra FROM: David D. Berkowitz, Director of Publi rorksiCit�yEngineer SUBJECT: Approve Change Order #1/21-18/Advanced Metering Infrastructure (AMI) - Engineering DATE: December 7, 2021 INTRODUCTION The City Council is requested to approve Change Order #1 for Project 21-18, Advanced Metering Infrastructure (AMI). Core & Main LP has requested two changes be made to the existing contract, one being an extension of the completion date and the second being a deduction to the contract for work performed by the City. As the AMI project progressed there was several shipment delays from the radio manufacture that were outside of Core & Main LP control, therefore a request has been made to extend the completion dates from December 2021 to March 18, 2022 for the substantial completion and April 1, 2022 for the final completion date. Residential communication was required for this project but was not clear in the contract, therefore the City and Core & Main LP agreed to split the cost not to exceed a maximum contribution from Core & Main LP of $2000. The change order will reflect a deduct in the contract of $2000 with the actual deduction to be determined once all communication items are complete. BUDGETIMPACT The budget impact is a deduction of $2000 to the current contract will Core & Main LP. COUNCIL ACTION The City Council is requested to approve Change Order #1 for Project 21-18, Advanced Metering Infrastructure (AMI). Respectfully submitted, David D. Berkowitz, . . Attach: Resolution & Change Order #1� Cc: Greg Johnson, WSB (Email) Kirk Peterson, Core & Main LP (Email) CITY OF ANDOVER COUNTY OF ANOKA STATE OF MINNESOTA RES. NO. MOTION by Councilmember to adopt the following: A RESOLUTION APPROVING CHANGE ORDER #1 TO PROJECT NO. 21-18, ADVANCED METERING INFRASTRUCTURE (AMI) . WHEREAS, the City of Andover has a contract for Project No. 21-18, Advanced Meterinq Infrastructure (AMI) with Core & Main LP of Eden Prairie, MN. NOW THEREFORE, BE IT RESOLVED by the City Council of Andover to hereby approve the change order #1 to Project No. 21-18. Adopted by the City Council of the City of Andover this 7th day of December , 2021. CITY OF ANDOVER ATTEST: Sheri Bukkila - Mayor Michelle Hartner — Deputy City Clerk CHANGE ORDER NO. 1 AMI -ADVANCED METERING INFRASTRUCTURE PROJECT NOVEMBER 16, 2021 CIN PROJECT NO.: 21.18 WSB PROJECT NO.: 17448-000 OWNER: CONTRACTOR City Ot Andover 1685 Crosstown Blvd NW Core &Main LP 15800 W.ra 79th Street Eden Andover, MN 55304 Eden Prairie, MN 55344 YOU ARE DIRECTED TO MAKE THE FOLLOWING CHANGES IN THE CONTRACT DOCUMENT DESCRIPTION: 1. Deduct $2,000 from the contract amount to reimburse the Owner for half of their costs to prepare and mail postcards to the City's customers (see attached proposal). 2. Change the contract Substantial Completion date to March 18, 2022 and the Final Completion date to Apol 1, 2022 due to equipment delivery delays (see attached proposed). IT IS UNDERSTOOD THAT THIS CHANGE ORDER INCLUDES ALL ADDITIONAL COSTS AND TIME EXTENSIONS WHICH ARE IN ANY WAY, SHAPE, OR FORM ASSOCIATED WITH THE WORK ELEMENTS DESCRIBED ABOVE. CHANGE IN CONTRACT PRICE: CHANGE IN CONTRACT TIME: Substantial Completion - December 17, 2021 Final Completion - ORIGINAL CONTRACT PRICE: $1,180,440.14 ORIGINAL CONTRACT TIME: December 31, 2021 PREVIOUS CHANGE ORDERS: $0.00 NET CHANGE FROM PREVIOUS CHANGE ORDERS: NONE CONTRACT PRICE PRIOR TO THIS CHANGE ORDER: $0.00 CONTRACT TIME PRIOR TO THIS CHANGE ORDER: NONE NET INCREASEIDECREASE OF THIS CHANGE ORDER: -$2,000.00 NET INCREASE OF CHANGE ORDER: 91 Days Substantial Completion - March 18, 2022 Final Completion - CONTRACT PRICE WITH ALL APPROVED CHANGE ORDERS: $1,178,440.14 CONTRACT TIME WITH APPROVED CHANGE ORDERS:April 1, 2022 RECOMMENDED BY: APPROVED BY: �Yka��y2L�. 11-16-2021 GREG F./JOHNSON, PE, PROJECT MANAGER CONTRACTOR SIGNATURE WSB & ASSOCIATES, INC. CORE & MAIN LP ENGINEER CONTRACTOR APPROVED BY: CIN ENGINEER CITY ADMINISTRATOR DATE DATE K:10174 8-000WdmIatConstmction Adm(nlChangeOrderslChange ONer No. ll Change ONer No. 1-Andov rAMI-Advanc.d MMednglnf..ftcturepm/ect 11-062021Co1 DocuSign Envelope ID: F37E8AE1-05D8-4CO3-BC03-529AF9396B46 EREOM m July 14, 2021 VIA E-MAIL ONLY David D. Berkowitz, P.E. D.Berkowitz0andovermn.sov Director of Public Works/City Engineer City of Andover 1685 Crosstown Blvd. NW Ahdove"r MN "55304 __ ._.._ ..... . Greg Johnson, P.E. GJohnson(@,wsbene.com WSB & Associates, Inc. 178 E. 9s' Street, Suite 200 St. Paul, MN 55101 Core & Main LP -- - 15800 W 79th Street Eden Prairie, MN 55344 P. 952.937.9666 F. 952.937.8065 Wade Baumberger, District Manager Wade.Baumberger@coreandmain.com Ph. 651.247.9602 Re: Change Proposal of Core & Main LP — Preparing and mailing postcard notifications Agreement Between Owner and Contractor for Construction Contract AMI — Advanced Metering Infrastructure Project (the "Agreement") Gentlemen: Please accept this letter as a formal Change Proposal from Core & Main LP ("Core & Main") requesting a Change Order pursuant to the General Conditions, Par. 11.09, of the captioned Agreement. Core & Main proposes a deductive Change Order to cover half of the cost of preparing and mailing postcards to the City of Andover's utility customers to notify them of the impending project and the installation of transceivers on exterior touch pads, up to a maximum amount of $2,000.00. Please do not hesitate to contact Kirk Peterson at Kirk.Peterson&dCOreandmain.com or by telephone at (612) 202-7786 should you have any questions or require any further information related to this Change Proposal. Best regards, D"Now . w: ale"le$4�''ger, District Manager WB/caa M TM CORE -10 November 3, 2021 VIA E-MAIL ONLY David D. Berkowitz, P.E. D.Berkowitz@andovermn.sov Director of Public Works/City Engineer City of Andover 1685 Crosstown Blvd. NW Andnver MW 5540 Greg Johnson, P.E. WSB & Associates, Inc. 178 E. 9h Street, Suite 200 St. Paul, MN 55101 GJohnson@wsbene.com Core & Main LP _. 15800 W 79th Street Eden Prairie, MN 55344 P. 952.937.9666 F. 952.937.8065 Wade Baumberger, District Manager Wade.Baumberger@coreandmain.com Ph. 651.247.9602 Re: Change Proposal of Core & Main LP — Extension of Time until April 1, 2022 Agreement Between Owner and Contractor for Construction Contract AMI—Advanced Metering Infrastructure Project (the "Agreement") Gentlemen: Please accept this letter as a formal Change Proposal from Core & Main LP ("Core & Main") requesting a Change Order pursuant to the General Conditions, Par. 11.09, of the captioned Agreement. Core & Main proposes a Change Order to extend the time for completion of the project until April 1, 2022. Please do not hesitate to contact Kirk Peterson at Kirk.Peterson@coreandmain.com or by telephone at (612) 202-7786 should you have any questions or require any further information related to this Change Proposal. Best rreegards, Vv� Wade Baumberger, District ager WB/caa NDOV..E^ 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV TO: Mayor and Council Members CC: Jim Dickinson, City Administrator FROM: David Berkowitz, Director of Public s/City Engineer SUBJECT: Award Bid/21-25//Tower #2 Reconditioning & Painting - Engineering DATE: December 7, 2021 INTRODUCTION The City Council is requested to accept bids and award contract for Project 21-25. Tower #2 Reconditioning & Painting. The bid opening for City Project 21-25, Tower #2 Reconditioning & Painting was held on November 19, 2021. Bids received areas follows: Contractor Total Bid Viking Industrial Painting $1,127,750.00 LC United Painting $1,362,000.00 Classic Protective Coatings, Inc. $1,367,950.00 Osseo Construction Co. LLC $1,484,100.00 TMI Coatings, Inc. $1,697,000.00 Engineer's Estimate $1,450,000.00 BUDGETIMPACT The total project budget identified in the 2022 Capital Improvement Plan is $1,655,000 and is to be funded by the Water Trunk Fund. There will be Engineering Administration and Construction Inspection services required during construction but when complete the project should come in under budget. ACTION REQUIRED The City Council is requested to accept bids and award the contract to Viking Industrial Painting in the amount of $1,127,750.00 for Project 21-25, Tower #2 Reconditioning & Painting. Respectfully submitted, C��- David D. Berkowitz, P.E. Cc: Ben Feldman, KLM Engineering (Email) Attachments: Resolution,/ KLM Recommendation Letter & Bid Abstract CITY OF ANDOVER COUNTY OF ANOKA STATE OF MINNESOTA RES. NO. MOTION by Council member to adopt the following: A RESOLUTION ACCEPTING BIDS AND AWARDING CONTRACT FOR THE IMPROVEMENT OF PROJECT NO. 21-25, TOWER #2 RECONDITIONING & PAINTING. WHEREAS, pursuant to advertisement for bids as set out in Council Resolution No. 070-21 dated October 5. 2021, bids were received, opened and tabulated according to law with results of the one bid received as follows: Viking Industrial Painting $1,127,750.00 LC United Painting $1,362,000.00 Classic Protective Coatings, Inc. $1,367,950.00 Osseo Construction Co. LLC $1,484,100.00 TMI Coatings, Inc. $1,697,000.00 NOW, THEREFORE, BE IT RESOLVED by the City Council of the City of Andover to hereby accept the bids as shown to indicate Viking Industrial Painting as being the apparent low bidder. BE IT FURTHER RESOLVED TO HEREBY direct the Mayor and City Clerk to enter into a contract with Viking Industrial Painting in the amount of $1,127,750.00 for construction of the improvements; and direct the City Clerk to return to all bidders the deposits made with their bids, except that the deposit of the successful bidder and the next two lowest bidders shall be retained until the contract has been executed and bond requirements met. MOTION seconded by Council member and adopted by the City Council at a regular meeting this 7th day of December , 2021 , with Council members of the resolution, and Council members against, whereupon said resolution was declared passed. CITY OF ANDOVER ATTEST: Sheri Bukkila - Mayor Michelle Hartner — Deputy City Clerk voting in favor voting November 23, 2021 David Berkowitz, P.E. Director of Public Works / City Engineer City of Andover 1685 Crosstown Blvd. NW Andover, MN 55304 KLM ENGINEERING INC. 1976 Wooddale Drive, Suite 4 1 Woodbury, MN 55125 Phone (651) 773-5111 Fax (651) 773-5222 by Email RE: Bid evaluation for 1,000,000 -Gallon Elevated Reservoir Reconditioning & Painting — Tower Number Two in the City of Andover, MN. City Project No. 21-25, KLM Project No. 3565-21. Mr. Berkowitz, The project bid opening was held on Thursday, November 18, 2021, at 2:00 PM CST on QuestCDN's online bidding platform. Bids received were as follows: In review of documentation provided by the lowest bidder, Viking Industrial Painting meets the qualifications of the Specifications and is considered a responsible bidder eligible for award of this project. The Contractor was also contacted to confirm their intent to honor their Base Bid amount. KLM recommends awarding the contract to the lowest bidder, Viking Industrial Painting, for the total amount of $1,127,750.00. Please feel free to contact me with any questions. Sincerely, KLM Engineering Inc. Rodney Ellis Principle 11Page Viking Industrial Painting $1,127,750.00 LC United Painting $1,362,000.00 Classic Protective Coatings, Inc. $1,367,950.00 Osseo Construction Co. LLC $1,484,100.00 TMI Coatings, Inc. $1,697,000.00 In review of documentation provided by the lowest bidder, Viking Industrial Painting meets the qualifications of the Specifications and is considered a responsible bidder eligible for award of this project. The Contractor was also contacted to confirm their intent to honor their Base Bid amount. KLM recommends awarding the contract to the lowest bidder, Viking Industrial Painting, for the total amount of $1,127,750.00. Please feel free to contact me with any questions. Sincerely, KLM Engineering Inc. Rodney Ellis Principle 11Page Bid Opening Date: November 18, 2021 Bid Opening Time: 2:00 PM Owner: City of Andover, Minnesota Bid Tabulation Sheet Description: Bid Location: City Project No. KLM Project No. 1,000,000 -Gallon Elevated Reservoir, Reconditioning & Painting Tower Number Two QuestCDN online bidding platform 21-25 3565-21 Bid Item No. 1 Bid Item No. 2 Bid Item No. 3 Bid Item No.4 Bid Item No. 5 Bid Item No. 6 Structure Interior Wet Area Interior Dry Area Spot Repair& Exterior Area Abrasive Blast& Contractor Bid Bond Tower Rehabilitation Modifications Surface Repairs p Abrasive Blast Coating (Sweating Coating & Mobilization Base Bid Coating Areas) Containment Lump Sum $ 175/hr Lump Sum Lump Sum Lump Sum Lump Sum Viking Industrial Painting X $192,300.00 $8,750.00 $199,300.00 $40,000.00 $633,100.00 $54,300.00 $1,127,750.00 Lump Sum $ 150/hr Lump Sum Lump Sum Lump Sum Lump Sum LC United Painting X $176,000.00 $7,500.00 $316,500.00 $98,000.00 $742,000.00 $22,000.00 $1,362,000.00 Lump Sum $ 125/hr Lump Sum Lump Sum Lum Sum Lump Sum Classic Protective Coatings, Inc. X $120,250.00 $6,250.00 $281,050.00 $128,200.00 $802,200.00 $30,000.00 $1,367,950.00 Lump Sum $ 100/hr Lump Sum Lum Sum Lump Sum Lump Sum Osseo Construction Co. LLC X $172,400.00 $5,000.00 $466,700.00 $100,000.00 $680,000.00 $60,000.00 $1,484,100.00 Lump Sum $ 150/hr Lump Sum Lump Sum Lump Sum Lump Sum TMI Coatings, Inc. X $155,000.00 $7,500.00 $388,000.00 $60,000.00 $1,021,500.00 $65,000.00 $1,697,000.00 •_'` / / r��. 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV TO: Mayor and City Council CC: Jim Dickinson, City Administrat FROM: Michelle Harmer, Deputy City Clerk SUBJECT: Approve 2022 Used Vehicle Sales Business Licenses DATE: December 7, 2021 INTRODUCTION Used Vehicle Sales Business licenses expire on December 31, 2021. DISCUSSION The following have applied for renewal of their Used Vehicle Sales License and paid the appropriate fee. Admiral Auto Sales LLC, 3138 162"d Lane, Suite 5 Autos by James LLC, 16191 Round Lake Boulevard, Suite A Burton Auto Sales LLC, 3138 162nd Lane, Suite 3 Ceka Auto Sales LLC, 16191 Round Lake Boulevard, Suite 1 C ACTION REQUIRED The City Council is requested to approve the above licenses for the period January 1, 2022 through December 31, 2022. l Respectfully submitted, Michelle Harmer Deputy City Clerk Attach: License applications 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV Used Vehicle Sales Business License Renewal Application Required Documents: • Completed Application Form • Vehicle Sales License Fee: $105.00 • Copy of State Dealers License • State Workers Compensation Form • State Verification of Property Lease Form Person Applying For License: First Name Middle Name Last Name /b Lh ci zA Business Name ,HCl', 1 M 1 .440 Business Address 3139 14 24IJ )-N Alw Sie S Ao�Y/y iDh/ 5S,Y&Y Home Address _ Home Phone xsinessPhone K17-226-2.20- Fax Email Address v I (We) agree to operate such business in accordance with the laws of Minnesota and the ordinances I f the City of Andover. Information in this application is classified as public data and will be provided to the public upon request. Licenses expire on December 31St of each year. Lack of payment of annual licensing fee shall be cause for revocation of license. Signature Dafe License Renewal Fee $105.00 License# Ua l-00' Z( City Council Action STATE OF MINNESOTA Dealer License Certificate DEALER NUMBER: Name: Address: Additional Location: DLR38161 ADMIRAL AUTO SALES LLC 3138 162ND LN NE NW # 5 ANDOVER MN 55304 Owners/Officers ROLANDO MENDOZA EXPIRATION: Dealer Type: 31 -Mar -2022 Used A 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV Used Vehicle Sales Business License Renewal Application Required Documents:. • Completed Application Form's • Vehicle Sales License Fee: $105.00 • Copy of State Dealers License &-' • State Workers Compensation Form • State Verification of Property Lease Form Person Applying For License: First Name lu,D cS Middle Name A Last Name Z& Business Name C LC. Business Address 1-k Q I V S Fe A Akc(6vtr• MNSS3611 Home Address — — Home Phone Business Phone 'ax Email Address J I (We) agree to operate such business in accordance with the laws of Minnesota and the ordinances of the City of Andover. Information in this application is classified as public data and will be provided to the public upon request. Licenses expire on December 315 of each year. Lack of payment of annual licensing fee shall be cause for revocation of license. ignature Date License Renewal Fee $1`05 00 License 6 -,7( STATE O F MINNESOTA Dealer License Certificate DEALER NUMBER: Name: Address: Additional Location: DLR95335 AUTOS BY JAMES LLC 16191 ROUND LAKE BLVD NW STB A ANDOVER MN 55304 Owners/Officers HENKEL, JAMES ROBERT EXPIRATION: Dealer Type: 31 -Jan -2022 Used r� LID1 ' a ) ehc a r^vo cess C I T Y O F ,NDOVE: 1685 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV Used Vehicle Sales Business License Renewal Application Required Documents: • Completed Application Forint • Vehicle Sales License Fee: $105.00 • Copy of State Dealers License • State Workers Compensation Form • State Verification of Property Lease Form Person Applying For License: First NameALMiddle Name Business Name(S U-04 t Last Name -rnK Business Address :3m'- /4 a C -el W )q+1 ub ✓�--ll Home Address r Home Phone Email Address Business Phone, It Fax 3 I (We) agree to operate such business in accordance with the laws of Minnesota and the ordinances of the City of Andover. Information in this application is classified as public data and will be provided to the public upon request. Licenses expire on December 31St of each year. Lack of payment of annual licensing fee shall be cause for revocation of license. Signature Date License Renewal Fee 05 00 License # 4. O67 $- City _Council P;btion. STATE OF MINNESOTA Dealer. License Certificate DEALER NUMBER: Name: Address: Additional Location: Owners/Officers NEAL BURTON DLR39214 BURTON AUTO SALES LLC 3138 162ND LN NW STE 3 ANDOVER MN 55304-4990 EXPIRATION: Dealer Type: (tom � ri Ibr�rf� 30 -Apr -2022 Used CITY Will , , OF 'rAi. �' 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV Used Vehicle Sales Business License Renewal Application Required Documents: • Completed Application Form • Vehicle Sales License Fee: $105.00 • Copy of State Dealers License • State Workers Compensation Form'' • State Verification of Property Lease Form Person Applying For License: CC 0 First Name adaq.%r Middle Name �7 Last Nam Ce i Business Name ey-� AuA-o �GZ( _ l e- s . U ,-C Business Address �6 �� e�Yl/ �o �2e �l/r.�• �%�V' SC/) L i/1Y1[ lciP�y i n Home Address Home Phone essPhone4f.-Ag :;!yfq' Fax A -J 1A Email Address , I (We) agree to operate such business in accordance with the laws of Minnesota and the ordinances of the City of Andover. Information in this application is classified as public data and will be provided to the public upon request. Licenses expire on December 31St of each year. Lack of payment of annual licensing fee shall be //-'/ 5, Z0'%I Date License $enewal Fee 105:00 Licens. e City Council Action-,. STATE OF MINNESOTA Dealer License Certificate DEALER NUMBER: Name: Address: Additional Location: DLR39637 CEKA AUTO SALES LLC 16191 ROUND LAKE BLVD NW STE 1C ANDOVER MN 55304-2462 Owners/Officers SICILIANO, RAFAEL ERNESTO HERNAND KERLY ROXANA RIOS REYES CESAR GERVACIO AVILA EXPIRATION-. 30 -Apr -2022 Dealer Type: Used 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV TO: Mayor and City Council CC: Jim Dickinson, City Administrator FROM: Michelle Harmer, Deputy City Clerk SUBJECT: Approve 2022 Massage Therapy License DATE: December 7, 2021 INTRODUCTION Massage Therapist/Establishment licenses expire on December 31, 2021. DISCUSSION The following has applied for renewal of their license, paid the appropriate fee and been approved by the Sheriff's Office. • Renee Palluck, Health & Healing Family Chiropractic — 2705 Bunker Lake Blvd., Suite 100 • Karrie Lehn, Health & Healing Family Chiropractic — 2705 Bunker Lake Blvd., Suite 100 • Sara Johnson, Sapphire Massage —14405 Osage Street • Anthony Lawther, Essentials of Life Chiropractic —1777 Bunker Lake Blvd., Suite 200 • Kristine Maravelas, A Healthier You Massage Therapy — 13847 Raven Street • Kaitlyn Madoll, Body at Peace LLC —1777 Bunker Lake Blvd., Suite 200 • Tara Tuveson, The Cove Massage Studio, Inc. — 2705 Bunker Lake Blvd., Suite 200 • Lisa Scholl, Olive Branch Massage Therapy — 15824 Olive Street ACTION REQUIRED The City Council is requested to approve the licenses for the period of January 1, 2022 through December 31, 2022. Respectfully ,submitted, Michelle Hartner Deputy City Clerk Attach: License Applications 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV Therapeutic Massage Therapist License Application Pursuant to City Code 3-6 the following information must be provided prior to approval: 1. Name of Applicant ;&AE6' � G G (/G!l Fust Middle Last 2. Applicant's Date of Birth (must be 18 years old) 3. Telephone Number of Applicant — 4. �.. .. 4. Email Address of Applicant - - •- - 5. Home Address of A 6. I will be working as a massage therapist at: a Residential Home.. Provide address & legal description of home X a Business. Provide address of business X265 &Ah-&- La "V .c�l�L�iJ� AW1,/1 W/e,4/ s5 x -y 7. Number of years experience as a massage therapist ez 8. Previous employment as a massage therapist (list name, address and position held: Gi i �. iii �•�, . v 9. Description of any crime or other offense, including the time, place, date, and disposition for which the applicant has been arrested and convicted: 17&r1 -?r2 Provide a statement as to whether the applicant has had any license denied, revoked or suspended in the City of Andover or the State of Minnesota, the reason therefore, and the business activity or occupation of the applicant subsequent to such suspension, revocation or denial. (Attach separate sheet) Furnish proof of graduating from a school of therapeutic massage with a core curriculum of at least 500 hours of in -class, teacher supervised instruction of which no more than 200 hours shall be clinical training. Prior to consideration of the application an investigation shall be made by the county sheriff's department of all persons listed on the license applications. Please attach a copy of your driver's license. Licenses expire on December 31st of each year. Lack of payment of annual licensing fee shall be cause for revocation of license. �aAZ-'e1 /D'/l-oZo_.l Signature of Applicant Date ....................................................................... Massage Therapist Application Fee: $175.00 Annually _"5% (includes investigation fee) License #40a iia I _ %ate Paid .s aI Approver Deny: erif Office City Clerk: Approve Deny City Council: Approve Deny 1685 CROSSTOWN BOULEVARD N.W.. ANDOVER. MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV THERAPEUTIC MASSAGE ESTABLISHMENT LICENSE APPLICATION 1. Name of Applicant &(Iy Y l Y., L.l V1 V1 I. ZU First Middl Last 2. Applicant's Date of Birth (must be 18 yrs old) 3. Telephone Number of Applicant 4. Email Address of Applicant 5. Home Address of Applicant Ir 6. Address of Business/Premises to be Licensed 7. Name of Business/Premises 8. Telephone Number for Business/Premises 7W -323 -cm) 9. Legal Description of Business/Premi es to be Licensed r di=91 10. Name of OVWr of Premises to be Licensed 11. Address of Owner of Premises to be Licensed :sa-"— As G%D1/e_, 12. Within the preceding five years has the applicant or spouse been convicted of any felony, crime or violation of any ordinance other than traffic. If so, provide the state or county of conviction, the date of conviction and the specific crime so committed. to n 13. If the applicant is a corporation list the names, addresses and dates of birth of all perso having a beneficial interest therein (i.e. officers, directors, stockholders). 14. Description of services to be 0 S536V 7 The information requested in items 1,2,3 and 9 must be provided for all owners, lessees, operators and massage therapists of the proposed therapeutic massage establishment. Insurance: Each applicant for a license shall file with the city a public liability insurance policy or certificate of insurance from a company authorized to do business in the state of Minnesota, insuring the applicant against any and all loss arising out of the use, operation or maintenance of the therapeutic massage establishment. The policy of insurance shall be in limits of not less than five hundred thousand dollars ($500,000.00). Failure to keep in full force and effect the insurance required herein is grounds for revocation. Prior to consideration of the application by City Council, an investigation shall be made by the code enforcement officer and the building official to determine compliance with this chapter of all premises proposed to be licensed, and by the County Sheriff's Department of all persons listed on the license application. Please attach a copy of your driver's license. Applicant and associates in this application will strictly comply with all ordinances of the City. I hereby certify that I have read the foregoing questions and that the answers are true of my own knowledge. Licenses expire on December 31St of each year. Lack of payment of annual licensing fee shall be cause for revocation of license. 1aZ72( 'ignature of Applicant I Date License Fees: —Single Application: $200.00 _ Corporate Application: $300.00 _ Partnership Application: $300.00 _ Residential Application: Conditional Use Permit (refer to fee schedule for feel (fees include investigation fee) Renewal Fee: $150.00 J License #' 0M -_6b' RAmount Paid '$ 196,6Z) Date Paid �1 Approve:__�/ Deny: Office City Clerk: Approve Deny City Council*: Approve Deny * Council needs to approve Conditional Use Permit requests only. 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 . WWW.ANDOVERMN.GOV THERAPEUTIC MASSAGE ESTABLISHMENT LICENSE APPLICATION 1. Name of Applicant First 2. Applicant's Date of Birth (must be 18 yrs old) 3. Telephone Number of Applicant 4. Email Address of Applicant _ 5. Home Address of Applicant 1 r 6. Address of Business/Premises to be Licensed I (- LW5 nJw AV-love.f m ,u 5s --?O`1 7. NameofBusiness/Premises_ `,(�,OQW\(e `�C,,SQgPM 8. Telephone Number for Business/Premises (p - ;)13 Ll - -7151-1 9. Legal Description of Business/Premises to 10. Name of Oi pr of PrP mic .c to ha T ira caA 11. Address of Owner of Premises to he T,icensed 12. Within the preceding five years has the applicant or spouse been convicted of any felony, crime or violation of any ordinance other than traffic. If so, provide the state or county of conviction, the date of conviction and the specific crime so committed. l`9 C) 13. If the applicant is a corporation list the names, addresses and dates of birth of all persons hiving a beneficial interest therein (i.e. officers, directors, stockholders). 14. Description of services to be provided. ` a' cQ The information requested in items 1,2,3 and 9 must be provided for all owners, lessees, operators and massage therapists of the proposed therapeutic massage establishment. Insurance: Each applicant for a license shall file with the city a public liability insurance policy or certificate of insurance from a company authorized to do business in the state of Minnesota, insuring the applicant against any and all loss arising out of the use, operation or maintenance of the therapeutic massage establishment. The policy of insurance shall be in limits of not less than five hundred thousand dollars ($500,000.00). Failure to keep in full force and effect the insurance required herein is grounds for revocation. Prior to consideration of the application by City Council, an investigation shall be made by the code enforcement officer and the building official to determine compliance with this chapter of all premises proposed to be licensed, and by the County Sheriffs Department of all persons listed on the license application. Please attach a copy of your driver's license. Applicant and associates in this application will strictly comply with all ordinances of the City. I hereby certify that I have read the foregoing questions and that the answers are true of my own knowledge. Licenses expire on December 3111 of each year. Lack of payment of annual licensing fee shall be cause for revocation of license. Signature of Applicant Date License Fees: _ Single Application: $200.00 _ Corporate Application: $300.00 _ Partnership Application: $300.00 Residential Application: Conditional Use Permit (refer to fee schedule for fee) (fees include investigation fee) Renewal Fee: $150.00 ^^ ((�// License # 6 - qHA Amount Paid 41 S O D Date Paid l b' nlal Approve: VI Deny: rif s Office City Clerk: Approve Deny City Council*: Approve Deny * Council needs to approve Conditional Use Permit requests only. 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 . WWW.ANDOVERMN.GOV THERAPEUTIC MASSAGE ESTABLISHMENT LICENSE APPLICATION 1. Name of Applicant Laq 2. Applicant's Date of Birth (most be 18 yrs old) 3. Telephone Number of Applicant 4. Email Address of Applicant 5. Home Address of Applicant - .. rel 7. Name of Business/Premises &} 4-1� (',kiY fl'I]rrC4 C 8. Telephone Number for Business/Premises 90 -t//q b guy/ 9. Legal Description of Business/Premises to be Licensed 10. Name of Owner of Premises to be Licensed 11. Address of Owner of Premises to be 12. Within the preceding five years has the applicant or spouse been convicted of any felony, crime or violation of any ordinance other than traffic. If so, provide the state or county of conviction, the date of conviction and the specific crime so committed. nc� 13. If the applicant is a corporation list the names, addresses and dates of birth of all persons having a beneficial interest therein (i.e. officers, directors, stockholders). 14. Description of services to be provided. The information requested in items 1,2,3 and 9 must be provided for all owners, lessees, operators and massage therapists of the proposed therapeutic massage establishment. Insurance: Each applicant for a license shall file with the city a public liability insurance policy or certificate of insurance from a company authorized to do business in the state of Minnesota, insuring the applicant against any and all loss arising out of the use, operation or maintenance of the therapeutic massage establishment. The policy of insurance shall be in limits of not less than five hundred thousand dollars ($500,000.00). Failure to keep in full force and effect the insurance required herein is grounds for revocation. Prior to consideration of the application by City Council, an investigation shall be made by the code enforcement officer and the building official to determine compliance with this chapter of all premises proposed to be licensed, and by the County Sheriffs Department of all persons listed on the license application. Please attach a copy of your driver's license. Applicant and associates in this application will strictly comply with all ordinances of the City. I hereby certify that I have read the foregoing questions and that the answers are true of my own knowledge. Licenses expire on December 3151 of each year. Lack of payment of annual licensing fee shall be causeforrevocation of license. Signature of Applicant Date License Fees: _ Single Application: $200.00 —Corporate Application: $300.00 _ Partnership Application: $300.00 Residential Application: Conditional Use Permit (refer to fee schedule for fee) (fees include investigation fee) Renewal Fee: $150.00 License # G� I -Ob 413Amount Paid 0 Ub Date Paid ( 0.14- M Approve: V Deny: W'sOffice City Clerk: Approve Deny City Council*: Approve Deny * Council needs to approve Conditional Use Permit requests only. 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 . (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV THERAPEUTIC MASSAGE ESTABLISHMENT LICENSE APPLICATION 1. Name of Applicant First 2. Applicant's Date of Birth (must be 18 yrs old)_ 3. Telephone Number of Applicant_ 4. Email Address of Applican' 5. Home Address of Applicant 6. Address of Business/Premises to be Licensed Last 7. Name of Business/Premises ��er Yc /Viw`�Sct�yz l< U� P0 8. Telephone Number for Business/Premises 0 to be Licensed 10. Name of Owner of Premises, to be Licensed 11. Address of Owner of Premises to be Licensed 12. Within the preceding five years has the applicant or spouse been convicted of any felony, crime or violation of any ordinance other than traffic. If so, provide the state or county of conviction, the date of conviction and the specific crime so committed. rA In 13. If the applicant is a corporation list the names, addresses and dates of birth of all persons having a beneficial interest therein (i.e. officers, directors, stockholders). 14. The information requested in items 1,2,3 and 9 must be provided for all owners, lessees, operators and massage therapists of the proposed therapeutic massage establishment. Insurance: Each applicant for a license shall file with the city a public liability insurance policy or certificate of insurance from a company authorized to do business in the state of Minnesota, insuring the applicant against any and all loss arising out of the use, operation or maintenance of the therapeutic massage establishment. The policy of insurance shall be in limits of not less than five hundred thousand dollars ($500,000.00). Failure to keep in full force and effect the insurance required herein is grounds for revocation. Prior to consideration of the application by City Council, an investigation shall be made by the code enforcement officer and the building official to determine compliance with this chapter of all premises proposed to be licensed, and by the County Sheriff's Department of all persons listed on the license application. Please attach a copy of your driver's license. Applicant and associates in this application will strictly comply with all ordinances of the City. I hereby certify that I have read the foregoing questions and that the answers are true of my own knowledge. Licenses expire on December 31" of each year. Lack of payment of annual licensing fee shall be cause for revocation of license. J4___ Signature of Applicant License Fees: _ Single Application: $200.00 _ Corporate Application: $300.00 —Partnership Application: $300.00 _ Residential Application: Conditional Use Permit (refer to fee schedule for fee) (fees include investigation fee) X Renewal Fee: $150.00 License # Amount Paid r Date Paid Approve:D my: er" Office City Clerk: Approve Deny City Council*: Approve Deny * Council needs to approve Conditional Use Permit requests only. v,h,-.,%. 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV Therapeutic Massage Therapist License Application Pursuant to City Code 3-6 the following information must be provided prior to approval: 1. Name of Middle 2. Applicant's Date of Birth (must be 1s years old) _ 3. Telephone Number of Applicant 4. Email Address of Applicant _ .... _....._ 5. Home Address of Applicant _ 6. I will be working as a massage therapist at: a Residential Home. Provide address & legal description of home a Business. Provide address of business31`� 1 A Gtr' p --f c f QAc rn-i ,xcW'k',MPJ a3 7. Number of years experience as a massage therapist 13 8. Previous employment as a massage therapist (list name, address and position held: 9. Description of any crime or other offense, including the time, place, date, and disposition for which the applicant has been arrested and Provide a statement as to whether the applicant has had any license denied, revoked or suspended in the City of Andover or the State of Minnesota, the reason therefore, and the business activity or occupation of the applicant subsequent to such suspension, revocation or denial. (Attach separate sheet) Furnish proof of graduating from a school of therapeutic massage with a core curriculum of at least 500 hours of in -class, teacher supervised instruction of which no more than 200 hours shall be clinical training. Prior to consideration of the application an investigation shall be made by the county sheriff's department of all persons listed on the license applications. Please attach a copy of your driver's license. Licenses expire on December 31st of each year. Lack of payment of annual licensing fee shall be cause for revocation of license. �1 A Wdpl 1 I (�Da Signature of Applicant bate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I Massage Therapist Application Fee: $175.00 Annually (includes investigation fee) License # O — gHDate Paid Approve: Deny: rOfce City Clerk: Approve Deny City Council: Approve Deny Ll C I T Y O F jND0VEkJqW 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV THERAPEUTIC MASSAGE ESTABLISHMENT LICENSE APPLICATION 1. Name of Applicant ' r&L*VyJ >Llwl '� LAV First s Middlg Last 2. Applicant's Date of Birth (must be 18 yrs old) _ - 3. Telephone Number of Applicant 3 4. Email Address of Applicant r - 5. Home Address of Applican+ 6. Address of Business/Premises to be 7. Name of r 8. Telephone Number for Business/Premises lb'3 - 3( a - 63 83 Q of Business/Premises to be Licensed 10. Nine of Owner of Prer�nises to be License III of Premises to be 12. Within the preceding five years has the applicant or spouse been convicted of any felony, crime or violation of any ordinance other than traffic. If so, provide the state or county of conviction, the date of conviction and the specific crime so committed. N) 13. If the applicant is a corporation list the names, addresses and dates of birth of all persons having a beneficial interest therein (i.e. officers, dirgctors, stockholders). 14. Description of services to be provided. MN Jvic. The information requested in items 1,2,3 and 9 must be provided for all owners, lessees, operators and massage therapists of the proposed therapeutic massage establishment. Insurance: Each applicant for a license shall file with the city a public liability insurance policy or certificate of insurance from a company authorized to do business in the state of Minnesota, insuring the applicant against any and all loss arising out of the use, operation or maintenance of the therapeutic massage establishment. The policy of insurance shall be in limits of not less than five hundred thousand dollars ($500,000.00). Failure to keep in full force and effect the insurance required herein is grounds for revocation. Prior to consideration of the application by City Council, an investigation shall be made by the code enforcement officer and the building official to determine compliance with this chapter of all premises proposed to be licensed, and by the County Sheriffs Department of all persons listed on the license application. Please attach a copy of your driver's license. Applicant and associates in this application will strictly comply with all ordinances of the City. I hereby certify that I have read the foregoing questions and that the answers are true of my own knowledge. Licenses expire on December 31st of each year. Lack of payment of annual licensing fee shall be cause for revocation of license. Signature of Applicant IDate License Fees: Single Application: $200.00 _ Corporate Application: $300.00 —Partnership Application: $300.00 Residential Application: Conditional Use Permit (refer to fee schedule for fee) (fees include investigation fee) Renewal Fee: $150.00 License # i -Od 3`Amount Paid �5 b • D Paid 0, J Approve:_=Deny: Z6 er' Office City Clerk: Approve Deny City Council*: Approve Deny * Council needs to approve Conditional Use Permit requests only. 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV THERAPEUTIC MASSAGE ESTABLISHMENT LICENSE APPLICATION 1. Name of Applicant 31) Middle Last 2. Applicant's Date of Birth (must be 18 yrs old) _ 3. Telephone Number of Applicant_ 4. Email Address of Applicant 5. Home Address of Applicant 6. Address of Business/Premises to be Licensed l58?� ()I_iv2 ,St 4Z4d) dDyetr, 14A) 2553UZJ 0�iVe Biw(Z L 7. Name of Business/Premises L64 &ha / 1a4hu5i eii VSs,f z %lwj`�i 8. Telephone Number for Business/Premises 6/Z —,y46* 7 9. Legal Description of Business/Premises to be Licensed 40 .�2, eaee l tii `/lirs wd,44 217d Ad df'aq 10. Name of Owner of Premises to be Licensed 11. Address of Owner of Premises to be Licensed 12. Within the preceding five years has the applicant or spouse been convicted of any felony, crime or violation of any ordinance other than traffic. If so, provide the state or county of conviction, the date of conviction and the specific crime so comrnitted. 111 fl 13. If the applicant is a corporation list the names, addresses and dates of birth of all persons having a beneficial interest therein (i.e. officers, directors, stockholders). 14. Description of services to be provided. 71her-A e-u:b c, Ma s qle �P The information requested in items 1,2,3 and 9 must be provided for all owners, lessees, operators and massage therapists of the proposed therapeutic massage establishment. Insurance: Each applicant for a license shall file with the city a public liability insurance policy or certificate of insurance from a company authorized to do business in the state of Minnesota, insuring the applicant against any and all loss arising out of the use, operation or maintenance of the therapeutic massage establishment. The policy of insurance shall be in limits of not less than five hundred thousand dollars ($500,000.00). Failure to keep in full force and effect the insurance required herein is grounds for revocation. Prior to consideration of the application by City Council, an investigation shall be made by the code enforcement officer and the building official to determine compliance with this chapter of all premises proposed to be licensed, and by the County Sheriff's Department of all persons listed on the license application. Please attach a copy of your driver's license. Applicant and associates in this application will strictly comply with all ordinances of the City. I hereby certify that I have read the foregoing questions and that the answers are true of my own knowledge. Licenses expire on December 31" of each year. Lack of payment of annual licensing fee shall be cause for revocation of license. Signature o Applicant Date License Fees: _ Single Application: $200.00 _ Corporate Application: $300.00 —Partnership Application: $300.00 _ Residential Application: Conditional Use Permit (refer to fee Schedule for feel (fees include investigation fee) X Renewal Fee: $150.00 License # ZA I - OIWAmount Paid ' 150 • UD Date Paid I 15 'ad Approve::::Deny: Office City Clerk: Approve Deny City Council*: Approve Deny * Council needs to approve Conditional Use Permit requests only. 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 . (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV TO: Mayor and City Council CC: Jim Dickinson, City Administ?� FROM: Michelle Harmer, Deputy City C SUBJECT: Approve 2022 Tobacco Licenses DATE: December 7, 2021 INTRODUCTION Tobacco licenses expire on December 31, 2021. DISCUSSION The following have applied for renewal of their license, paid the appropriate fees, and been approved by the Sheriff s Office: Bill's Superette — 14041 Round Lake Boulevard Casey's —15246 Bluebird Street CBD RS —13650 Hanson Boulevard Daybreak Tobacco LLC — 13652 Crosstown Boulevard G -Will Liquors —13973 Round Lake Boulevard King's County Market — 13735 Round Lake Boulevard Kwik Trip —1756 Bunker Lake Boulevard Lucky's Station — 13660 Crosstown Boulevard Top Ten Liquors —13627 Quinn Street Walgreens — 2134 Bunker Lake Boulevard Walmart —1851 Bunker Lake Boulevard ACTION REQUIRED The City Council is requested to approve the above licenses for the period January 1, 2022 through December 31, 2022. Respectfully submitted, �w-a--P ' Michelle Harmer Deputy City Clerk Attach: License Applications G) Ellffll "Inilwa 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV THIS APPLICATION MUST BE COMPLETED BY: IF BY A NATURAL PERSON, BY SUCH PERSON; IF BY A CORPORATION OR LLC, BY AN OFFICER OF THE CORPORATION OR LLC; IF BY A PARTNERSHIP, BY ONE OF THE PARTNERS; IF BY AN UNINCORPORATED ASSOCIATION, BY THE MANAGER OR MANAGING OFFICER OF THE ASSOCIATION. IF THERE HAS BEEN A CHANGE IN OWNERSHIP, YOU MUST APPLY AS A NEW LICENSE. TOBACCO LICENSE RENEWAL APPLICATION INDIVIDUAL COMPLETING RENEWAL APPLICATION: This individual must be the business owner or a corporate officer. FULL NAME (First, Middle, Last) DATE OF BIRTH HOMEADDRESS� STATE ZIP MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: 1 — ENTAIL ADDRESS: v DRIVER'S LICENSE # ALTERNATE NUMBER:(_ ��4�I ATION DATE: _ STATE OF ISSUANCE: PERSONAL HISTORY INFORMATION: Personal History Information must be completed by the above named individual. If you have resided at the above address for less than ten (10) years, please list previous addresses. Have you ever been denied a license to conduct a similar or like activity or had such a license suspended, revoked or canceled in any City or State, including Andover: Yes I] No K (if yes you must provide details; description, date and location) Attach additional sheets as necessary. At any time, have you been convicted of any felony, crime or violation of a federal or state law or local ordinance other than a misdemeanor traffic violation? Yes E] No X illi yes you must provide details; date of offense, type of offense and location of offense) Attach additional sheets as necessary. I C IT Y 0 F^ NDOVE 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV BUSINESS INFORMATION: LEGAL n. CITY STATE FROM ABOVE) CITY STATE ZIP LICENSE CONTACT INFORMATION: List the individual that will serve as the City contact person for the license application and license related questions. NAME STATE MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: (� ALTERNATE NUMBER: ! EMAIL ADDRESS -- V BUSINESS LOCATION CONTACT INFORMATION: List the individual that will serve as the Business Location contact person, i.e. Store Manager. NAME (IF DIFFERENT PHONE NUMBER: Z31 1 Y- / - Cly q ALTERNATE NUMBER: ( 7469 1 , 5t— —9,460 EMAILADDRESS:- ` 1685 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 65304 • (763) 756.6100 FAX (783) 755-8923 • WWW.AN DOVE RMN GOV ONLY FULLY COMPLETED APPLICATIONS ARE ACCEPTED. PAYMENT AND ALL REQUIRED DOCUMENTATION IS REQUIRED AT TIME OF APPLICATION SUBMITTAL. CHECKLIST OF REQUIRED DOCUMENTATION: L7 License Application, fully completed. 0 Annual Fee $250.00 Photocopy of Current Minnesota Driver's License, Minnesota State Issued Identification Card or other Government Issued Identification as evidence that applicant Is at least eighteen (18) years of age. Workers Compensation Form (State requirement) 0 Tax Clearance Form (State requirement) 0 Tennessen Warning Form (State requirement) 0 Minnesota Department of Revenue License Application (State requirement) I agree to waive my constitutional rights against search and seizure and will freely permit peace officers to inspect my premises and agree to the forfeiture of my license if found to have violated the provisions of the ordinance providing for the granting of this license. I do hereby swear that the answers In this application are true and correct to the best of my knowledge. I do authorize the City of Andover, its agents and employees to obtain any necessary information and to conduct an Investigation, Including background checks, as deemed necessary by the City of Andover into the truth of the statements set forth in this application and the qualifications for said license. I do understand that providing false Information shall be grounds for denial of my license. I fully understand that It Is my responsibility to be familiar with and abide by the requirements of the City, which Is detailed in the pertinent section of the Andover City Code, which Is available on the City website at www.andovermn.gov or upon request from the City Clerk and to be familiar with and abide by the laws of the State of Minnesota relating to this licensure. I further understand that the Information supplied within this application Is classified as public data and will be provided to the public upon request. Signature: &4�A- lk2a. � Date: r� 1r17, ?i/ Title: _ r;�ZCa' p eweyr' Approved: Denied; C I T Y O F NDOVE 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV THIS APPLICATION MUST BE COMPLETED BY: IF BY A NATURAL PERSON, BY SUCH PERSON; IF BY A CORPORATION OR LLC, BY AN OFFICER OF THE CORPORATION OR LLC; IF BY A PARTNERSHIP, BY ONE OF THE PARTNERS; IF BY AN UNINCORPORATED ASSOCIATION, BY THE MANAGER OR MANAGING OFFICER OF THE ASSOCIATION. IF THERE HAS BEEN A CHANGE IN OWNERSHIP, YOU MUST APPLY AS A NEW LICENSE. TOBACCO LICENSE RENEWAL APPLICATION INDIVIDUAL COMPLETING RENEWAL APPLICATION: This individual must be the business owner or a corporate officer. CASEY'S RETAIL COMPANY BY DOUGLAS MARSHALL BEECH, ASSISTANT SECRETARY FULL NAME (First, Middle, Last) DATE OF BIRTH HOME ADDRESS CITY STATE ZIP MAILING ADDRESS OF DIFFERENT FROM ABOVE) CIfY STATE ZIP PHONE NUMBER: f - ALTERNATE NUMBER: ( 1 EMAIL ADDRESS: DRIVER'S LICENSE it. EXPIRATION DATE: _ TATE OF ISSUANC_. PERSONAL HISTORY INFORMATION: Personal History Information must be completed by the above named Individual. If you have resided at the above address for less than ten (10) years, please list previous addresses. Have you ever been denied a lice conduct a similar or like activity or had such a license suspended, revoked or canceled In any City or State, Including Andover. Yes ❑ No I (if yes you must provide details., description, date and location) Attach additional sheets as necessary. At any time, have you been icted of any felony, crime or violation of a federal or state law or local ordinance other than a misdemeanor traffic violation? Yes ❑ No (if yes you must provide details date of offense, type of offense and location of offense) Attach additional sheets as necessary. W51 -=10A 4: 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV BUSINESS INFORMATION: CASEY'S RETAIL COMPANY LEGAL NAME OF BUSINESS - ANKENY IA 50021 BUSINESS ADDRESS CASEY'S GENERAL STORE #3890 ZIP PO BOX 3001 ANKENY IA TRADE NAME (dba) MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP 15246 BLUEBIRD ST NW ANDOVER MN 55304 BUSINESS ADDRESS/PHYSICAL LOCATION OF LICENSED PREMISE CITY STATE ZIP PO BOX 3001 ANKENY IA 50021 MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP LICENSE CONTACT INFORMATION: List the individual that will serve as the City Contact person for the license application and license related questions. JESSICA FISHER-COMSTOCK, CASEY'S LICENSING SPECIALIST NAME (First, Last) 1 SE CONVENIENCE BLVD ANKENY IA 50021 BUSINESS ADDRESS CITY STATE ZIP PO BOX 3001 ANKENY IA 50021 MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: ( ALTERNATE NUMBER: ( 1 EMAILADDRESf BUSINESS LOCATION CONTACT INFORMATION: List the Individual that will serve as the Business Location Contaciperson, Le. Store Manager. JESSICA MILLER 15246 BLUEBIRD ST NW ANDOVER MN 55304 BUSINESSADDRESS CITY - STATE ZIP MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: ( - - - - - - - . ALTERNATE NUMBER:( ) �4' 1686 CROSSTOWN BOULEVARD N.W, • ANDOVER, MINNESOTA 86304 * (763) 766.6100 FAX (763) 766-8823 • WWW.ANDOVERMN,GOV ONLY FULLY COMPLETED APPLICATIONS ARE ACCEPTED, PAYMENTAND ALL REQUIRED DOCUMENTATION IS REQUIRED AT TIME OF APPLICATION SUBMITTAL, J CHECKLIST OF REQUIRED DOCUMENTATION: License Application Packet, fully completed. td Payment $260,00 ® Photocopy of Current Minnesota Driver's License, Minnesota State Issued Identification Card or other Government Issued Identification as evidence that applicant Is at least eighteen (18) years of age, Workers Compensation Form (State requirement) Tax Clearance Form (State requirement) �Tennessen Warning Form (State requirement) Minnesota Department of Revenue License Application (State requirement) I agree to waive my constitutional rights against search and seizure and will freely permit peace officers to Inspect my premises and agree to the forfeiture of my license if found to have violated the provisions of the ordinance providing for the granting of this license. I do hereby swear that the answers in this application are true and correct to the best of my knowledge. I do authorize the City of Andover, Its agents and employees to obtain any necessary Information and to conduct an Investigation, Including background checks, as deemed necessary by the City of Andover Into the truth of the statements set forth In this application and the qualifications for said license. I do understand that providing false Information shall be grounds for denial of my license, I fully understand that It la my responsibility to be famillar with and abide by the requirements of the City, which is detailed In the pertinent section of the Andover City Code, which Is available on the City website at www,andovermn.00v or upon request from the City Clerk and to be familiar with and abide by the laws of the State of Minnesota relating to this Ilcensure. I further understand that the Information supplied within this application Is classified as public data and will be provided to the public upon request, Signature; /�"�'z'Date; 10/04/2021 DOUGLAS M BEECH, ASSISTANT SECRETARY FOR CASEY'S RETAIL COMPANY Approved.. X Denied: .� . -.Date: A c IT Y OF k_�;L 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV THIS APPLICATION MUST BE COMPLETED BY: IF BY A NATURAL PERSON, BY SUCH PERSON; IF BY A CORPORATION OR LLC, BY AN OFFICER OF THE CORPORATION OR LLC; IF BY A PARTNERSHIP, BY ONE OF THE PARTNERS; IF BY AN UNINCORPORATED ASSOCIATION, BY THE MANAGER OR MANAGING OFFICER OF THE ASSOCIATION. IF THERE HAS BEEN A CHANGE IN OWNERSHIP, YOU MUST APPLY AS A NEW LICENSE. TOBACCO LICENSE RENEWAL APPLICATION INDIVIDUAL COMPLETING RENEWAL APPLICATION: This individual must be the business owner ora corporate officer. FULL NAME (First, Middle, Last) DATE OF BIATH nuME ADDRESS CITY STATE ZIP MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY . STATE ZIP PHONE NUMBER: ( - J _ ALTERNATE NUMBER: ( ) ENTAIL ADDRESS' DRIVER'S LICENSE #.� _ EXPIRATION DATE:, STATE OF ISSUANCE: PERSONAL HISTORY INFORMATION; - - - - - Personal History Information must be completed by the above named individual. If you have resided at the above address for less than ten (10) years, please list previous addresses. Have you ever been denied a license conduct a similar or like activity or had such a license suspended, revoked or canceled in any City or State, including Andover: Yes No (if yes you must provide details description, date and location) Attach additional sheets as necessary. At anytime, have you been convicted of any felony, crime or violation of a federal or state law or local ordinance other than a misdemeanor traffic violation? Yes Q No Lfd Id yes you must provide details; date of offense, type of offense and location of offense) Attach additional sheets as necessary. 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV BUSINESS INFORMATION: TRADE NAME (dba) STATE ZIP MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY LICENSE CONTACT INFORMATION: List the individual that will serve as the City Contact person for the license application and license related questions. (First, Last) MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: (� _ , Vv p ALTERNATE NUMBER: ( ) n . EMAIL ADDRESS BUSINESS LOCATION CONTACT INFORMATION: List the individual that will serve as the Business Location Contact person, i.e. Store Manager. ZIP MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER'. , _ EMAIL ADDRESS. ALTERNATE NUMBER: ( ) 1685 CROSSTOWN BOULEVARD N.W. - ANDOVER, MINNESOTA 65304 • (763) 765-5100 FAX (763) 766-8923 • WWW.ANDOVERMN GOV ONLY FULLY COMPLETED APPLICATIONS ARE ACCEPTED. PAYMENT AND ALL REQUIRED DOCUMENTATION IS REQUIRED AT TIME OF APPLICATION SUBMITTAL. CHECKLIST OF REQUIRED DOCUMENTATION: ❑ License Application, fully completed. ❑ Annual Fee $250.00 ❑ Photocopy of Current Minnesota Driver's License, Minnesota State Issued Identification Card or other Government Issued Identification as evidence that applicant is at least eighteen (18) years of age. ❑ Workers Compensation Form (State requirement) ❑ Tax Clearance Form (State requirement) ❑ Tennessen Warning Form (State requirement) ❑ Minnesota Department of Revenue License Application (State requirement) I agree to waive my constitutional rights against search and seizure and will freely permit peace officers to inspect my premises and agree to the forfeiture of my license if found to have violated the provisions of the ordinance providing for the granting of this license. I do hereby swear that the answers in this application are true and correct to the best of my knowledge. Ido authorize the City of Andover, Its agents and employees to obtain any necessary Information and to conduct an investigation, including background checks, as deemed necessary by the City of Andover Into the truth of the statements set forth in this application and the qualifications for said license. I do understand that providing false information shall be grounds for denial of my license. I fully understand that it is my responsibility to be familiar with and abide by the requirements of the City, which Is detailed in the pertinent section of the Andover City Code, which Is available on the City website at www.andovermn..g or upon request from the City Clerk and to be familiar with and abide by the laws of the.State of Minnesota relating to this Ilcensure. 1 further understand that the information supplied within this application Is classified as public data and will be provided to the public upon request. Signature: Date: � 0 1 N!�I(�-0%-\ Title: Approved: /b Denied: C I T Y O F NDOVE 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV THIS APPLICATION MUST BE COMPLETED BY: IF BY A NATURAL PERSON, BY SUCH PERSON; IF BY A CORPORATION OR LLC, BY AN OFFICER OF THE CORPORATION OR LLC; IF BY A PARTNERSHIP, BY ONE OF THE PARTNERS; IF BY AN UNINCORPORATED ASSOCIATION, BY THE MANAGER OR MANAGING OFFICER OF THE ASSOCIATION. IF THERE HAS BEEN A CHANGE IN OWNERSHIP, YOU MUST APPLY AS A NEW LICENSE. TOBACCO LICENSE RENEWAL APPLICATION INDIVIDUAL COMPLETING RENEWAL APPLICATION: This individual must be the business owner or a corporate officer. / DATE OF BIRTH HOME ADDRESS 1 CITY STATE: ur MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: C ^_ r z . — /1 ., W ALTERNATE NUMBER,_— _ r EMAIL ADDRESS: _ ) DRIVER'S LICENSE #: _ r _ TQPIRATION DATE: STATE OF ISSUANCE, PERSONAL HISTORY INFORMATION: . Personal History Information must be completed by the above named individual. If you have resided at the above address for less than ten (10) years, please list previous addresses. Have you ever been denied a license to conduct a similar or like activity or had such a license suspended, revoked or canceled in any City or State, including Andover: Yes Q No R (if yes you must provide details; description, date and location) Attach additional sheets as necessary. At anytime, haveou been convicted of any felony, crime or violation of a federal or state law or local ordinance other than a misdemeanor traffic violation? Yes Ej No X) (rf yes you must provide details; date of offense, type of offense and location of offense) Attach additional sheets as necessary. 1. • C IT Y OF k.NDOVE^ 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV BUSINESS INFORMATION: LEGAL NAME OF BUSINESS TRADE NAME (dba) 0 BUSINESS STATE ZIP MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP LICENSE CONTACT INFORMATION: List the individual that will serve as the City Contact person for the license application and license related questions. NAME (First, Last) \3 e. sz s S � vav\ 'lzW Idit) Add ®"-ee MJi/ jS ? e 14 BUSINESS ADDRESS CITY STATE ZIP MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER:! ALTERNATE NUMBER:( ) EMAIL ADDRESS: BUSINESS LOCATION CONTACT INFORMATION: List the individual that will serve as the Business Location Contact person, i.e. Store Manager. m xa' c, ( rA3wk NAME (First, Last) yioz �as�fie�tan �\ye� /✓kd Ait/;e'Ie/ ____ CITY LIY MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: EMAIL ADDRESS: ALTERNATE NUMBER:( ) W ,' r- :AV All GAN 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 765-8923 . WWW.ANDOVERMN GOV ONLY FULLY COMPLETED APPLICATIONS ARE ACCEPTED. PAYMENT AND ALL REQUIRED DOCUMENTATION IS REQUIRED AT TIME OF APPLICATION SUBMITTAL. CHECKLIST OF REQUIRED DOCUMENTATION: License Application, fully completed, Annual Fee $250.00 C7 Photocopy of Current Minnesota Driver's License, Minnesota State Issued Identification Card or other Government Issued Identification as evidence that applicant is at least eighteen (18) years of age. p Workers Compensation Form (State requirement) ©r Tax Clearance Form (State'requlrement) Tennessen Warning Form (State requirement) 9' Minnesota Department of Revenue License Application (State requirement) I agree to waive my constitutional rights against search and seizure and will freely permit peace officers to inspect my premises and agree to the forfeiture of my license if found to have violated the provisions of the ordinance providing for the granting of this license. I do hereby swear that the answers In this application are true and correct to the best of my knowledge. I do authorize the City of Andover, Its agents and employees to obtain any necessary Information and to conduct an investigation, Including background checks, as deemed necessary by the City of Andover into the truth of the statements set forth in this application and the qualifications for said license. I do understand that providing false information shall be grounds for denial of my license. I fully understand that It is my responsibility to be familiar with and abide by the requirements of the City, which Is detailed In the pertinent section of the Andover City Code, which is available on the City website at www.andovermn.gov or upon request from the City Clerk and to be familiar with and abide by the laws of the State of Minnesota relating to this licensure. I further understand that the information supplied within this application is classified as public data and will be provided to the public upon request. Signature: Title: Approved:Y Denied: nied, I Date:: Date: /0' 0/ q r 1685 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV THIS APPLICATION MUST BE COMPLETED BY: IF BY A NATURAL PERSON, BY SUCH PERSON; IF BY A CORPORATION OR LLC, BY AN OFFICER OF THE CORPORATION OR LLC; IF BY A PARTNERSHIP, BY ONE OF THE PARTNERS; IF BY AN UNINCORPORATED ASSOCIATION, BY THE MANAGER OR MANAGING OFFICER OF THE ASSOCIATION. IF THERE HAS BEEN A CHANGE IN OWNERSHIP, YOU MUST APPLY AS A NEW LICENSE. TOBACCO LICENSE RENEWAL APPLICATION INDIVIDUAL COMPLETING RENEWAL APPLICATION: This individual must be the business owner or a corporate officer. n _1 , %,v1 /i_ / / FULL Ur ou.0 NUMEADDRESS CITY STATE zir MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: ( - EMAIL ADDRESS _ V DRIVER'S LICENSE # ALTERNATE NUMBER:( EXPIRATION DATE: STATE OF ISSUANCE:, PERSONAL HISTORY INFORMATION: -- Personal History Information must be completed by the above named individual. If you have resided at the above address for less than ten (10) years, please list previous addresses. Have you ever been denied a license o conduct a similar or like activity or had such a license suspended, revoked or canceled in any City or State, including Andover: Yes 0 No (if yes you must provide details; description, date and location) Attach additional sheets as necessary. At any time, haveou been co traffic ided of any felony, crime or violation of a federal or state law or local ordinance other than a misdemeanor trac violation? Yes [j No N (if yes you must provide details; date of offense, type of offense and location of offense) Attach additional sheets as necessary. C I T Y O F^ NDOVE 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV BUSINESS INFORMATION: A TRADE NAME (dba) MAILING ADDRESS (F DIFFERENT FROM ABOVE) CITY STATE ZIP LICENSE CONTACT INFORMATION: List the individual that will serve as the City Contact person for the license application and license related questions. NAME MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: (_ _ - ALTERNATE NUMBER: EMAIL ADDRESS:. BUSINESS LOCATION CONTACT INFORMATION: List the individual that will serve as the Business Location Contact person, i.e. Store Manager. PHONE NUMBER: i EMAIL ADDRESS. ALTERNATE NUMBER: L J�VN 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 66304 • (763) 766.5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV ONLY FULLY COMPLETED APPLICATIONS ARE ACCEPTED. PAYMENT AND ALL REQUIRED DOCUMENTATION IS REQUIRED AT TIME OF APPLICATION SUBMITTAL. CHECKLIST OF REQUIRED DOCUMENTATION: ❑ License Application, fully completed. 0 Annual Fee $250.00 ❑ Photocopy of Current Minnesota Driver's License, Minnesota State Issued Identification Card or other Government Issued Identification as evidence that applicant Is at least eighteen (18) years of age. ❑ Workers Compensation Form (State requirement) ❑ Tax Clearance Form (State requirement) ❑ Tennessen Warning Form (State requirement) ❑ Minnesota Department of Revenue License Application (State requirement) I agree to waive my constitutional rights against search and seizure and will freely permit peace officers to inspect my premises and agree to the forfeiture of my license If found to have violated the provisions of the ordinance providing for the granting of this license. I do hereby swear that the answers In this application are true and correct to the best of my knowledge. I do authorize the City of Andover, Its agents and employees to obtain any necessary Information and to conduct an investigation, Including background checks, as deemed necessary by the City of Andover into the truth of the statements set forth in this application and the qualifications for said license. I do understand that providing false Information shall be grounds for denial of my license. I fully understand that it is my responsibility to be familiar with and abide by the requirements of the City, which is detailed In the pertinent section of the Andover City Code, which is available on the City website at www.andovermn.cov or upon request from the City Clerk and to be familiar with and abide by the laws of the State of Minnesota relating to this licensure. I further understand that the Information supplied within this application Is classified as public data and will be provided to the public upon request. Signature: Y/�ca,se�GJ �e�ma Date: Title: der^- � Approved: Denied: ` ANLb YO FOn- 1685 �� CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV THIS APPLICATION MUST BE COMPLETED BY: IF BY A NATURAL PERSON, BY SUCH PERSON; IF BY A CORPORATION OR LLC, BY AN OFFICER OF THE CORPORATION OR LLC; IF BY A PARTNERSHIP, BY ONE OF THE PARTNERS; IF BY AN UNINCORPORATED ASSOCIATION, BY THE MANAGER OR MANAGING OFFICER OF THE ASSOCIATION. IF THERE HAS BEEN A CHANGE IN OWNERSHIP. YOU MUST APPLY AS A NEW LICENSE. TOBACCO LICENSE RENEWAL APPLICATION INDIVIDUAL COMPLETING RENEWAL APPLICATION: This individual must be the business owner or a corporate officer. ADDRESS uNitUr1:sinin STATE ZIP MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: ENTAIL ADDRESS: DRIVER'S LICENSE #: ALTERNATE NUMBER: ( EXPIRATION DATE: PERSONAL HISTORY INFORMATION: Personal History Information must be completed by the above named individual. If you have resided at the above address for less than ten (10) years, please list previous addresses. TE OF ISSUANCE: Have you ever been denied a license to conduct a similar or like activity or had such a license suspended, revoked or canceled in any City or State, including Andover: Yes Q No �$ (if yes you must provide details; description, date and location) Attach additional sheets as necessary. At any time, have you been convicted of any felony, crime or violation of a federal or state law or local ordinance other than a misdemeanor traffic violation? Yes D Noill (if yes you must provide details; date of offense, type of offense and location of offense) Attach additional sheets as necessary. `F 1685 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV BUSINESS INFORMATION: Tf �- 'CpUOS TW, LEGAL NAME OF BUSINESS IA� CovNry AeK<T TRADE NAME (dba) t',73 5 6L%JO Pr "i co VP -AL AAwmisoTAf 55304 MAILING ADDRESS (IF DIFFERENT FROM ABOVE) LICENSE CONTACT INFORMATION: List the individual that will serve as the City Contact person for the license application and license related questions. 160v-f'-bmAes NAME (First, Last) 5 Paurio LfaiK4- 13L-vo NoOyk 2 AIA jUt50TA 55304 ADDRESS CITY STATE ZIP MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: EMAIL ADDRESS: ALTERNATE NUMBER: ( . BUSINESS LOCATION CONTACT INFORMATION: List the individual that will serve as the Business Location Contact person, i.e. Store Manager. ry 131335 ?vvo LA V -C FOL%Jo ApQOUOI_ YAtJyWISOTA 55304 BUSINESSADDRESS CITY STATE ZIP MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBEF _ ALTERNATE NUMBER: (_ EMAILADDRESS: 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 765.5100 FAX (763) 755-8923 . WWW.ANDOVERMN GOV ONLY FULLY COMPLETED APPLICATIONS ARE ACCEPTED. PAYMENT AND ALL REQUIRED DOCUMENTATION IS REQUIRED AT TIME OF APPLICATION SUBMITTAL. CHECKLIST OF REQUIRED DOCUMENTATION: ❑ License Application, fully completed. O Annual Fee $250.00 ❑ Photocopy of Current Minnesota Driver's License, Minnesota State Issued Identification Card or other Government Issued Identification as evidence that applicant is at least eighteen (18) years of age. ❑ Workers Compensation Form (State requirement) ❑ Tax Clearance Form (State requirement) ❑ Tennessen Warning Form (State requirement) ❑ Minnesota Department of Revenue License Application (State requirement) I agree to waive my constitutional rights against search and seizure and will freely permit peace officers to Inspect my premises and agree to the forfeiture of my license if found to have violated the provisions of the ordinance providing for the granting of this license. I do hereby swear that the answers in this application are true and correct to the best of my knowledge. I do authorize the City of Andover, Its agents and employees to obtain any necessary information and to conduct an Investigation, Including background checks, as deemed necessary by the City of Andover into the truth of the statements set forth in this application and the qualifications for said license. I do understand that providing false information shall be grounds for denial of my license. I fully understand that it is my responsibility to be familiar with and abide by the requirements of the City, which is detailed in the pertinent section of the Andover City Code, which is available on the City website at www.andovermn.00v or upon request from the City Clerk and to be familiar with and abide by the laws of the State of Minnesota relating to this licensure. I further understand that the Information supplied within this application is classified as public data and will be provided to the public upon request. /p Signature: Date: �/,-e 2- 20Z1 _ Title: NR P -- Approved: -X -- .. Approved: _ Denied: '�EeS`g�5fi @tom---�ti1L'�t1SE#�'Y�'�`tfL+rJ ty Cfty Council Approved Date: Denied 1685 CROSSTOWN BOULEVARD N.W. - ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV THIS APPLICATION MUST BE COMPLETED BY: IF BY A NATURAL PERSON, BY SUCH PERSON; IF BY A CORPORATION OR LLC, BY AN OFFICER OF THE CORPORATION OR LLC; IF BY A PARTNERSHIP, BY ONE OF THE PARTNERS; IF BY AN UNINCORPORATED ASSOCIATION, BY THE MANAGER OR MANAGING OFFICER OF THE ASSOCIATION. IF THERE HAS BEEN A CHANGE IN OWNERSHIP, YOU MUST APPLY AS A NEW LICENSE. TOBACCO LICENSE RENEWAL APPLICATION INDIVIDUAL COMPLETING RENEWAL APPLICATION: This individual must be the business owner ora corporate officer. Donald Paul Zietlow FULL NAME (First, Middle, Last) DATE OF bim n nvn9t ADDRESS - . CITY o,„ice ZIP MAILING ADDRESS (IF DIFFERENT FROM ABOVE) vi IT a i„, ZIP PHONE NUMBER:, ALTERNATE NUMBER: L EMAIL ADDRESS: DRIVER'S LICENSE #: EXPIRATION DATE: _ STATE OF ISSUANCE: _ PERSONAL HISTORY INFORMATION: Personal History Information must be completed by the above named Individual. - - - -- _ - - - - - If you have resided at the above address for less than ten (10) years, please list previous addresses. Have you ever been denied a license to conduct a similar or like activity or had such a license suspended, revoked or canceled in any City or State, including Andover. Yes JZ No ❑ (if yes you must provide details; description, date and location) Attach additional sheets as necessary. Please see enclosed list of retail store violations in Minnesota. At any time, have yog been convicted of any felony, crime or violation of a federal or state law or local ordinance other than a misdemeanor traffic violation? Yes W No [D (d yes you must provide details; date of offense, type of offense and location of offense) Attach additional sheets as necessary. Please see enclosed list of retail store violations in Minnesota. 1665 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 . (763) 755-5100 FAX (763) 755-8923 . WWW.ANDOVERMN.GOV BUSINESS INFORMATION: Kwik Trip Inc. LEGAL NAME OF BUSINESS Kwik Trip #812 TRADE NAME (dba) 1756 Bunker Lake Blvd. NW Andover MN 55304 BUSINESS ADDRESS/PHYSICAL LOCATION OF LICENSED PREMISE CITY STATE ZIP 1626 Oak St., P.O. Box 2107 La Crosse WI 54602-2107 MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP LICENSE CONTACT INFORMATION: List the Individual that will serve as the City Contact person for the license application and license related questions. Deanna Hafner OR Jay Christianson NAME (First, Last) 1626 Oak St., P.O. Box 2107 La Crosse WI 54602-2107 BUSINESSADDRESS CITY STATE ZIP MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: ( ALTERNATE NUMBER: ( EMAILADDRESS:; BUSINESS LOCATION CONTACT INFORMATION: List the Individual that will serve as the Business Location Contact person, i.e. Store Manager. Katelyn White NAME (First, Last) 1756 Bunker Lake Blvd. NW Andover MN 55304 BUSINESSADDRESS CITY STATE ZIP 1626 Oak St., P.O. Box 2107 La Crosse WI 54602-2107 MAILING ADDRESS (IF DIFFERENT FROM ABOVE) . CITY STATE ZIP PHONE NUMBER: I EMAIL ADDRESS: ALTERNATE NUMBER •dillilli11101 1686 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 66304 • (763) 766-6100 FAX (763) 766-8923 . WWW.ANOOVERMN GOV ONLY FULLY COMPLETED APPLICATIONS ARE ACCEPTED. PAYMENTAND ALL REQUIRED DOCUMENTATION IS REQUIRED AT TIME OF APPLICATION SUBMITTAL. CHECKLIST OF REQUIRED DOCUMENTATION: ie License Application, fully completed. id Annual Fee $260,00 lie Photocopy of Current Minnesota Driver's License, Minnesota State Issued Identification Card or other Government Issued Identification as evidence that applicant Is at least eighteen (18) years of age. Workers Compensation Form (State requirement) {� Tax Clearance Form (State requirement) Tennessen Warning Form (State requirement) G� Minnesota Department of Revenue License Application (State requirement) I agree to waive my constitutional rights against search and seizure and will freely permit peace officers to Inspect my premises and agree to the forfeiture of my license If found to have violated the provisions of the ordinance providing for the granting of this license. I do hereby swear that the answers In this application are true and correct to the best of my knowledge. I do authorize the City of Andover, Its agents and employees to obtain any necessary Information and to conduct an Investigation, Including background checks, as deemed necessary by the City of Andover Into the truth of the statements set forth in this application and the qualifications for said license. I do understand that providing false Information shall be grounds for denial of my license. I fully understand that it Is my responsibility to be familiar with and abide by the requirements of the City, which Is detailed In the pertinent section of the Andover City Code, which Is available on the City website at www.andovermn.gov or upon request from the City Clerk and to be familiar with and abide by the laws of the State of Minnesota relating to this Ilcensure. I further understand that the Information supplied within this application Is classified as public data andel will be provided to the public upon request. Signature: /`��--a Date: 9-27-2021 Title; President Approved:_ Office Fees: $250.00 License#CS411-603g9 City_Council:__._..._Approvad__.__._.—.Denied_Date._..____.__..._—_ 1_-__..J...._.. 1 1 i 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV THIS APPLICATION MUST BE COMPLETED BY: IF BY A NATURAL PERSON, BY SUCH PERSON; IF BY A CORPORATION OR LLC, BY AN OFFICER OF THE CORPORATION OR LLC; IF BY A PARTNERSHIP, BY ONE OF THE PARTNERS; IF BY AN UNINCORPORATED ASSOCIATION, BY THE MANAGER OR MANAGING OFFICER OF THE ASSOCIATION. IF THERE HAS BEEN A CHANGE IN OWNERSHIP. YOU MUST APPLY AS A NEW LICENSE. TOBACCO LICENSE RENEWAL APPLICATION INDIVIDUAL COMPLETING RENEWAL APPLICATION: This individual must be the business owner or a corporate officer. FULL NAME (First, Middle, Last) n DATE OF BIRTH HOME ADDRESS CITY STATE ZIP MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: EMAIL ADDRESS: DRIVER'S LICENSE #: -- ALTERNATE NUMBER: ( 1 t �• EXPIRATION DATE: _ - STATE OF ISSUANCt: PERSONAL HISTORY INFORMATION: Personal History Information must be completed by the above named individual. If you have resi ed at the above address for less than ten (10) years, please list previous addresses. N& Have you ever been denied a licenseconduct a similar or like activity or had such a license suspended, revoked or canceled in any City or State, including Andover: Yes 0 No 6C (if yes you must provide details; description, date and location) Attach additional sheets as necessary. At anytime, have you been coni d of any felony, crime or violation of a federal or state law or local ordinance other than a misdemeanor traffic violation? Yes [] No Ler (if yes you must provide details; date of offense, type of offense and location of offense) Attach additional sheets as necessary. 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV BUSINESS INFORMATION: LoG LEGAL NAME OF BI L {I L`.L / 346 0 4w1Sm^'-+ OfIva k/ PREMISE CITY jw/ ss -30 MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP LICENSE CONTACT INFORMATION: List the individual that I serve as the City Contact person for the license application and license related questions 11,E �vfn/f NAME (First, Last) '/3rt s Jul vl ra Etter RA.1 STI 43 BUSINESS ADDRESS CITY STATE ZIP MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: EMAIL ADDRESS: ALTERNATE NUMBER: ( _ BUSINESS LOCATION CONTACT INFORMATION: List the individual that will serve as the Business Location Contact person, i.e. Store Manager. /)re-/< "4e t NAME (First, Last) MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: _ ALTERNATE NUMBER: ( ) EMAIL ADDRESS: 1' • - FAI WIL 1686 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 65304 • (763) 755.5100 FAX (763) 766-8923 • WWW.ANDOVERMN.GOV ONLY FULLY COMPLETED APPLICATIONS ARE ACCEPTED, PAYMENTAND ALL REQUIRED DOCUMENTATION IS REQUIRED AT TIME OF APPLICATION SUBMITTAL. CHECKLIST OF REQUIRED DOCUMENTATION: License Application, fully completed. LiAnnual Fee $250.00 Zr Photocopy of Current Minnesota Driver's License, Minnesota State Issued,ldentificatlon Card or other Government Issued Identification as evidence that applicant is at least eighteen (18) years of age. 5K Workers Compensation Form (State requirement) 4✓/Tax Clearance Form (State requirement) [A Tennessen Warning Form (State requirement) Minnesota Department of Revenue License Application (State requirement) I agree to waive my constitutional rights against search and seizure and will freely permit peace officers to Inspect my premises and agree to the forfeiture of my license if found to have violated the provisions of the ordinance providing for the granting of this license. I do hereby swear that the answers in this application are true and correct to the best of my knowledge, I do authorize the City of Andover, its agents and employees to obtain any necessary information and to conduct an investigation, including background checks, as deemed necessary by the City of Andover into the truth of the statements set forth in this application and the qualifications for said license. I do understand that providing false Information shall be grounds for denial of my license. I fully understand that It Is my responsibility to be familiar with and abide by the requirements of the City, which is detailed In the pertinent section of the Andover City Code, which Is available on the City website at www.andovermn.gov or upon request from the City Clerk and to be familiar with and abide by the laws of the State of Minnesota relating to this licensure. I further understand that the Information supplied within this application is classified as public data and will be provided to the public upon request, �r Signature: Date: Title: Approved:^ .d Denied Date: am—ED Mo- mirt 1686 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 . (763) 765-5100 FAX (763) 766-8923 • WWW.ANDOVERMN GOV THIS APPLICATION MUST BE COMPLETED BY: IF BY A NATURAL PERSON, BY SUCH PERSON; IF BY A CORPORATION OR LLC, BY AN OFFICER OF THE CORPORATION OR LLC; IF BY A PARTNERSHIP, BY ONE OF THE PARTNERS; IF BY AN UNINCORPORATED ASSOCIATION, BY THE MANAGER OR MANAGING OFFICER OF THE ASSOCIATION. IF THERE HAS BEEN A CHANGE IN OWNERSHIP, YOU MUST APPLY AS A NEW LICENSE. TOBACCO LICENSE RENEWAL APPLICATION INDIVIDUAL COMPLETING RENEWAL APPLICATION: This Individual must be the business owner ora corporate officer, Jonathan Garrett Haloer HOMEADDRESS CITY STATE - ZIP MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER., ALTERNATE NUMBER:( ) EMAILADDRES )rS.Conl DRIVER'S LICENSE;.. EXPIRATION DAT': STATE OF ISSUANCE. PERSONAL HISTORY INFORMATION: Persona! History information must be completed by the above named Individual. If you have resided at the above address for less than ten (10) years, please list previous addresses. 4808 Chantrey Place Minnetonka, MN 55345 Have you everbeen denied a license to conduct a similar or like activity or had such a license suspended, revoked or canceled in any City or State, Including Andover. Yes ❑ No ® (If yes you must provide datals; description, date and locagon) Attach additional sheets as necessary. At anytime. hav beenIcted of any felony, crime or violation of a federal or state law or local ordinance other than a misdemeanor traffic violation? Yes No I./ I (if yes you must provide details; date o/offense, type ol'oNense and location of offense) Attach additional sheets as necessary. M 1685 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 . WWW.ANDOVERMN.GOV BUSINESS INFORMATION: Yayin Gadol, LLC LEGAL NAME OF BUSINESS Top Ten Liquors TRADE NAME (dba) 13627 Quinn St NW Andover MN 55304 BUSINESS ADDRESS/PHYSICAL LOCATION OF LICENSED PREMISE CITY STATE ZIP MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP LICENSE CONTACT INFORMATION: List the Individual that will serve as the city contact person for the license application and license related questions. Vanessa Rokhman 525 SE 9th Street Suite 200 Minneapolis MN 55414 BUSINESS ADDRESS CITY STATE ZIP MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: EMAILADDRESS: ALTERNATE NUMBER: ( ) BUSINESS LOCATION CONTACT INFORMATION: List the individual that will serve as the Business Location contact person, Is. Store Manager. Jonathan Halper VAME (First, Last) 13627 Quinn St NW Andover MN 55304 BUSINESS ADDRESS CITY STATE ZIP 525 SE 9th Street Suite 200 Minneapolis MN 55414 MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: (_ I ALTERNATE NUMBER: ( ) EMAIL ADDRESt 1685 CROSSTOWN eoULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755.5100 FAX (763) 755-8923 • WWW.ANDOVERMN.00V ONLY FULLY COMPLETED APPLICATIONS ARE ACCEPTED, PAYMENT AND ALL REQUIRED DOCUMENTATION IS REQUIRED AT TIME OF APPLICATION SUBMITTAL. CHECKLIST OF REQUIRED DOCUMENTATION: FJ License Application, fully completed, U Annual Fee $250.00 To be sent separately 0 Photocopy of Current Minnesota Driver's License, Minnesota State Issued Identification Card or other Government Issued Identification as evidence that applicant is at least eighteen (18) years of age, IM Workers Compensation Form (State requirement) • Tax Clearance Form (State requirement) • Tennessen Warning Form (Slate requirement) M Minnesota Department of Revenue License Application (State requirement) I agree to waive my constitutional rights against search and seizure and will freely permit peace officers to inspect my premises and agree to the forfeiture of my license If found to have violated the provisions of the ordinance providing for the granting of this license. I do hereby swear that the answers in this application are true and correct to the best of my knowledge, I do authorize the City of Andover, Its agents and employees to obtain any necessary information and to conduct an Investigation, including background checks, as deemed necessary by the City of Andover Into the truth of the statements set forth in this application and the qualifications for said license. I do understand that providing false Information shall be grounds for denial of my license. I fully understand that it Is my respons)billty to be familiar with and abide by the requirements of the City, which Is detailed In the pertinent section of the Andover City Code, which Is available on the City website at www.andovermn,gov or upon request from the City Clerk and to be familiar with and abide by the laws of the State of Minnesota relating to this licensure, I further unde tand that the Information supplied within this. application is classified as public data and will b9,Kovlded to the pAlic u n request, Signature: Title: Owner/CEO Approved: Denied: Date: 11/9121 Fees: $250.00 License # 11A I — 009 -11 by City Council: Approved Denied Date: 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV THIS APPLICATION MUST BE COMPLETED BY: IF BY A NATURAL PERSON, BY SUCH PERSON; IF BY A CORPORATION OR LLC, BY AN OFFICER OF THE CORPORATION OR LLC; IF BY A PARTNERSHIP, BY ONE OF THE PARTNERS; IF BY AN UNINCORPORATED ASSOCIATION, BY THE MANAGER OR MANAGING OFFICER OF THE ASSOCIATION. IF THERE HAS BEEN A CHANGE IN OWNERSHIP, YOU MUST APPLY AS A NEW LICENSE. TOBACCO LICENSE RENEWAL APPLICATION INDIVIDUAL COMPLETING RENEWAL APPLICATION: This individual must be the business owner ora corporate officer. FULL DffrE OF BIRTH n , HOME ADDRESS _ ^ CITY _ W STATE ZIP MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: 'ERNATE NUMBER: EMAILADDRESS: tax1ifensemneW81*91fgfenncrom DRIVER'S LICENSE #: _ _ EXPIRATION DATE: STATE OF ISSUANCE: PERSONAL HISTORY INFORMATION: - - - - - - Personal History Information must be completed by the above named individual. If you have resided at the above address for less than ten (10) years, please list previous addresses. Have you ever been denied a licer��Q'to conduct a similar or like activity or had such a license suspended, revoked or canceled in any City or State, Y`--^ including Andover: Yes ❑ No (if yes you must provide details; description, date and location) Attach additional sheets as necessary. At any time, haveyou been ��onyyyicted of any felony, crime or violation of a federal or state law or local ordinance other than a misdemeanor traffic violation? Yes L] No Hyl (if yes you must provide details; date of offense, type of offense and location of offense) Attach additional sheets as necessary. ]C C I T Y O F^ ND OVE 1685 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV BUSINESS INFORMATION: Walgreen Co. V. D box I10 be, MAILING ADDRESS (IF DIFFERENT FROM ABOVE) i d lvoit-� toDo »" CITY STATE ZIP LICENSE CONTACT INFORMATION: List the i dtvidual that will serve a he City Contact person for the license application and license related questions. �si f� �aYl1-� NAME (First,Last) 300 lAbIfflut H , ms 7z 1, 10D01S- BUSINESS AP.RESS CITY STATE ZIP h P nx al n i i}eovr-A & l d- —,n- camnwr 9 PHONE NUMBER: EMAIL ADDRESS: ALTERNATE NUMBER:( 1 BUSINESS LOCATION CONTACT INFORMATION: List the individual that will serve as the Business Location Contact person, i.e. Store Manager. Ra0,he� L, P�,ersbn PHONE NUMBER: C ALTERNATE NUMBER EMAIL ADDRESS: s 1685 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 55304 . (763) 755.5100 FAX (763) 755.8923 • WWW.ANDOVERMN GOV ONLY FULLY COMPLETED APPLICATIONS ARE ACCEPTED. PAYMENT AND ALL REQUIRED DOCUMENTATION IS REQUIRED AT TIME OF APPLICATION SUBMITTAL. / CHECKLIST OF REQUIRED DOCUMENTATION: License Application, fully completed. M Annual Fee $250.00 Photocopy of Current Minnesota Driver's License, Minnesota State Issued Identification Card or other Government Issued Identification as evidence that applicant Is at least eighteen (18) years of age. Workers Compensation Form (State requirement) �E'Tax Clearance Form (State requirement) Tennessen Warning Form (State requirement) Minnesota Department of Revenue License Application (State requirement) I agree to waive my constitutional rights against search and seizure and will freely permit peace officers to Inspect my premises and agree to the forfeiture of my license if found to have violated the provisions of the ordinance providing for the granting of this license. I do hereby swear that the answers in this application are true and correct to the best of my knowledge. I do authorize the City of Andover, Its agents and employees to obtain any necessary Information and to conduct an investigation, including background checks, as deemed necessary by the City of Andover Into the truth of the statements set forth in this application and the qualifications for said license. I do understand that providing false information shall be grounds for denial of my license. I fully understand that it is my responsibility to be familiar with and abide by the requirements of the City, which is detailed in the pertinent section of the Andover City Code, which Is available on the City website at www.andovermn.00v or upon request from the City Clerk and to be familiar with and abide by the laws of the State of Minnesota relating to this licensure. I further understand that the information supplied within this application Is classified as public data and will be provided to the public upon request. Signature:..... �L t �y [/l�� Date:3D —Z--1 Title: Susan Halliday Assistu Approved:_ Denied: 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 - (763) 755-5100 FAX (763) 755-6923 • WWW.ANDOVERMN.GOV THIS APPLICATION MUST BE COMPLETED BY: IF BY A NATURAL PERSON, BY SUCH PERSON; IF BY A CORPORATION OR LLC, BY AN OFFICER OF THE CORPORATION OR LLC; IF BY A PARTNERSHIP, BY ONE OF THE PARTNERS; IF BY AN UNINCORPORATED ASSOCIATION, BY THE MANAGER OR MANAGING OFFICER OF THE ASSOCIATION. IF THERE HAS BEEN A CHANGE IN OWNERSHIP. YOU MUST APPLY AS A NEW LICENSE. TOBACCO LICENSE RENEWAL APPLICATION INDIVIDUAL COMPLETING RENEWAL APPLICATION: This individual must be the business owneror a corporate officer. David Reading FULL NAME (First, Middle, Last) DATE OF BIRTH :t HOME ADDRESS CITY STATE- ZIP MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: I ALTERNATE NUMBER: ( 1 EMAIL ADDRESS: DRIVER'S LICENSE #: EXPIRATION DAP ATE OF ISSUANCE: PERSONAL HISTORY INFORMATION: - Personal History Information must be completed by the above named Individual. If you have resided at the above address for less than ten (10) years, please list previous addresses. Have you ever been denied a lice se to conduct a similar or like activity or had such a license suspended, revoked or canceled in any City or State, including Andover. Yes I] No (ifyes you most provide details, description, date and location) Attach additional sheets as necessary. At any time, haveou been n icted of any felony, crime or violation of a federal or state law or local ordinance other than a misdemeanor traffic violation? Yes I No (if yes you must provide details, date of offense, type of offense and location of offense) Attach additional sheets as necessary. 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV BUSINESS INFORMATION: Walmart Inc. LEGAL NAME OF BUSINESS Walmart#1999 1851 Bunker Lake Blvd NW Andover MN 55304 BUSINESS ADDRESS/PHYSICAL LOCATION OF LICENSED PREMISE CITY STATE ZIP 702 SW 8th St Bentonville AR 72716-0500 MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP LICENSE CONTACT INFORMATION: List the individual that will serve as the City Contact person for the license application and license related questions. William Barbee NAME (First, Last) 1851 Bunker Lake Blvd NW Andover MN 55304 BUSINESSADDRESS CITY STATE ZIP 702 SW 8th St Bentonville AR 72716-0500 MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: -__ ALTERNATE NUMBER: ( ) EMAIL ADDRESS: BUSINESS LOCATION CONTACT INFORMATION: List the individual that will serve as the Business Location Contact person, i.e. store Manager. 1851 Bunker Lake Blvd NW Andover MN 55304 BUSINESSADDRESS CITY STATE ZIP 702 SW 8th St Bentonville AR 72716-0500 MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER: 1 I ALTERNATE NUMBER: ( EMAIL ADDRESS: 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 65304 . (763) 756.5100 FAX (763) 766.8923 , WWW.ANOOVERMN.GOV ONLY FULLY COMPLETED APPLICATIONS ARE ACCEPTED. PAYMENT AND ALL REQUIRED DOCUMENTATION IS REQUIRED AT TIME OF APPLICATION SUBMITTAL. CHECKLIST OF REQUIRED DOCUMENTATION: u License Application, fully completed, 0 Annual Fee $250.00 o Photocopy of Current Minnesota Driver's License, Minnesota State Issued Identification Card or other Government Issued Identification as evidence that applicant Is at least eighteen (1 B) years of age. o Workers Compensation Form (State requirement) Tax Clearance Form (State requirement) 0 Tennessen Warning Form (State requirement) Minnesota Department of Revenue License Application (State requirement) I agree to waive my constitutional rights against search and seizure and will freely permit peace officers to Inspect my premises and agree to the forfeiture of my license if found to have violated the provisions of the ordinance providing for the granting of this license. I do hereby swear that the answers in this application are true and correct to the best of my knowledge, I do authorize the City of Andover, its agents and employees to obtain any necessary Information and to conduct an investigation, including background checks, as deemed necessary by the City of Andover Into the truth of the statements set forth In this application and the qualifications for said license. I do understand that providing false Information shall be grounds for denial of my license. I fully understand that it is my responsibility to be familiar with and abide by the requirements of the City, which is detailed in the pertinent section of the Andover City Code, which is available on the City website at www.andovermn.00v or upon request from the City Clerk and to be familiar with and abide by the laws of the State of Minnesota relating to this licensure. I further understand that the information supplied within this application Is classified as public data and will be provided to the public upon request. Signature: I n &'r " — Date: 10/11/2021 Title: Assistant Secretary Approved: Denied: _roved Denied Date: AN661Y^____ 9)' 1685 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV TO: Mayor and City Council k CC: Jim Dickinson, City Administra FROM: Michelle Harmer, Deputy City I SUBJECT: Approve 2022 Kennel Licenses DATE: December 7, 2021 INTRODUCTION Kennel licenses expire on December 31, 2021. DISCUSSION The following has applied for renewal of their kennel license and paid the appropriate fee: Private: Geoffrey & Karen Godfrey — 3451 174h Lane Commercial: Dover Kennel — 1662 164x` Lane Muddy Paws Doggy Daycare — 3121 16111 Avenue ACTION REQUIRED The City Council is requested to approve the kennel licenses for the period of January 1, 2022 through December 31, 2022. Respectfully submitted, Michelle Harmer Deputy City Clerk Attach: License applications 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV PRIVATE DOG KENNEL LICENSE APPLICATION CITY CODE TITLE 5, CHAPTER 1 Private (anyplace where more than three dogs are kept for private enjoyment and not for monetary gain, provided such animals are owned by the owner or the lessee of the premises on which they are kept) Address .3 '1-5-1 ///E6 I—&VC Nui iia/Dznit >A, MAI Telephone Number _ i A Email Address Number of Dogs, Property Size h 19CR�; 5 I iN Method of Waste Disposal M61YU.1 t /3r1E1qzef ,DiSix 5F}l Attach a scaled drawing of the property and structures affected showing: scale and north arrow; dimensions of the property and structures; front, side and rear yard building setbacks; adjacent streets; and location and use of existing structures within 100 feet. k :F �k kick �t:Fickxkkxiricx kickic�F*kkkxz kkk kkxx*:Ficicxxirxxxic �Fx is it icxickkk>Fx*kkx' >F kxx' >Fx*�F* Fee: New License $200.00 (Includes Mailing Labels) Renewal License $25.00 # a da L-0�,J City Council Action 1685 CROSSTOWN BOULEVARD N.W.. ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV COMMERCIAL DOG KENNEL LICENSE APPLICATION CITY CODE TITLE 5, CHAPTER 1 Commercial (anyplace where a person accepts dogs from the genera/ public and where such animals are kept for the purpose of selling, boarding, breeding, training, orgrooming) N Address(�Pn_ v7- i b Ln GVH V�Cy Telephone Number A Email Address Number of Kennel Name D o v Zr lC C �A Vt e. Property Size to, 14 -or e Method of Waste Disposal5-e,p+�c. Will facility be used for training dogs? NO Number of employees, Attach a scaled drawing of the property and structures affected showing: scale and north arrow; dimensions of the property and structures; front, side and rear yard building setbacks; adjacent streets; and location and use of existing structures within 100 feet. e Fee: _ New License Fee $380.00 (Must also apply for a Conditional Use Permit with the Planning Department) XRenewal License $25.00 oa l -6O - 7 City Council Action 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV COMMERCIAL DOG KENNEL LICENSE APPLICATION CITY CODE TITLE 5, CHAPTER 1 Commercial (anyplace where a person accepts dogs from the genera/ public and where such animals are kept for the purpose of selling, boarding, breeding, training, orgrooming) Name Telephone Numbe- Email Address Number of Dogs. Kennel Name Property Size LA • 5'1[ as Method of Waste Will facility be used for training dogs? (),.(g Number of employees_ Attach a scaled drawing of the property and structures affected showing: scale and north arrow; dimensions of the property and structures; front, side and rear yard building setbacks; adjacent streets; and location and use of existing structures within 100 feet. e Fee: New License Fee $380.00 (Must also apply for a Conditional Use Permit with the Planning Department) YRenewal License $25.00 City Council Action 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV TO: Mayor and City Council CC FROM Jim Dickinson, City Administrato. Michelle Harmer, Deputy City Cli SUBJECT: Approve 2022 Liquor Licenses DATE: December 7, 2021 INTRODUCTION Liquor licenses expire on December 31, 2021. DISCUSSION The following have applied for renewal of their licenses and paid the appropriate fees: On -Sale Intoxicating Liquor Acapulco —13753 Ibis Street Andover Cinema —1836 Bunker Lake Boulevard Andover Lanes —13633 Martin Street Pappy's Caf6 & Taven — 13827 Round Lake Boulevard Unique Dining Experiences LLC — 13545 Martin Street Willy McCoys —13655 Martin Street Off -Sale Intoxicating Liquor G -Will Liquors —13973 Round Lake Boulevard Top Ten Liquors —13627 Quinn Street On -Sale Wine Joy Kitchen — 13650 Hanson Boulevard 3.2% Off -Sale Festival Foods — 2218 Bunker Lake Boulevard Kwik Trip —1756 Bunker Lake Boulevard Walmart — 1851 Bunker Lake Boulevard The Sheriff s Office has approved the background investigations. All applicant requirements have been reviewed and approved by the Clerk's office. ACTION REQUIRED The City Council is requested to approve the above licenses for the period January 1, 2022 through December 31, 2022. Respectfully submitted, Michelle Harmer Deputy City Clerk Attach: License applications a Minnesota Department of Public Safety Alcohol & Gambling Enforcement Division 445 Minnesota Street, 1600 St Paul, Minnesota 55101 651-201-7507 RENEWAL OF LIQUOR, WINE, CLUB OR 3.2% LICENSES No license will be approve or released until the $20 Retailer ID Card fee is received by Alcohol and Gambling Enforcement Licensee: Please verify your license information contained below. Make corrections if necessary and sign. City Clerk/County Auditor should submit this signed renewal with completed license and licensee liquor liability for the new license period. City Clerk/County Auditor are also required by M.S. 340A.404 S.3 to report any license cancellation. License Code: ONSS License Period Ending: 12/31/2021 Iden: 61790 Issuing Authority: Andover Licensee Name: Acapulco of Minnesota Inc Trade Name: Acapulco Mexican Restaurant Address: 13753 Ibis St NW Andover, MN 55304 Business Phone: 7633238772 License Fees: Off Sale: $0.00 On Sale: $5,250.00 Sunday: $200.00 By signing this renewal application, applicant certifies that there has been no change in ownership on the above named licensee. For changes in ownership, the licensee named above, or for new licensees, full applications should be used. See back of this application for further information needed to complete this renewal. Applicant's sianature on this renewal confirms the following, Failure to report any of the followina may result in civil penalties 1. Licensee confirms it has no interest whatsoever, directly or indirectly in any other liquor establishments in Minnesota. If so, give details on back of this application. 2. Licensee confirms that it has never had a liquor license rejected by any city/township/county in the state of Minnesota. If ever rejected, please give details on the back of this renewal, then sign below. 3. Licensee confirms that for the past five years it has not had a liquor license revoked for any liquor law violation (state or local). If a revocation has occurred, please give details on the back of this renewal, then sign below. 4. Licensee confirms that during the past five years It or its employees have not been cited for any civil or criminal liquor law violations. If violations have occurred, please give details on back of this renewal, then sign below. 5. Licensee confirms that during the past license year, a summons has not been Issued under the Liquor Liability Law (Dram Shop) MS 340A.802. If yes, attach a copy of the summons, then sign below. 6. Licensee confirms that Workers Compensation insurance will be kept in effect during the license period.Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is Issued. $100,000 in cash or securities or $310,000 surety bond may be submitted in lieu of liquor liability.(3.2 liquor licenses are exempt If sales arAless than $25,000 at on sale, or $50,000 at off sale). Licensee Signature DOB SSN Date (Signature certifies all above information to be correct and license has been approved by city/county.) City Clerk/Auditor Signature Date (Signature certifies that renewal of a liquor, wine or club license has been approved by the city/county as stated above.) County Attorney Signature Date County Board issued licenses only(Signature certifies licensee is eligible for license). Slgliiature certifies licensee or associates have been checked for any state/local liquor law violations (criminal/civil) during the past five years. Report violations on back, then sign here. Minnesota Department of Public Safety f Alcohol & Gambling Enforcement Division 445 Minnesota Street, 1600 St Paul, Minnesota 55101 651-201-7507 y RENEWAL OF LIQUOR, WINE, CLUB OR 3.2% LICENSES No license will be approve or released until the $20 Retailer ID Card fee is received by Alcohol and Gambling Enforcement Licensee: Please verify your license information contained below. Make corrections if necessary and sign. City Clerk/County Auditor should submit this signed renewal with completed license and licensee liquor liability for the new license period. City Clerk/County Auditor are also required by M.S. 340AA04 S.3 to report any license cancellation. License Code: ONSS License Period Ending: 12/31/2021 Iden: 67174 Issuing Authority: Andover Licensee Name: Cinema Entertainment Corp Trade Name: Andover Cinema Address: 1836 Bunker Lake Blvd NW Andover, MN 55304 Business Phone: 7637678401 License Fees: Off Sale: $0.00 On Sale: $5,250.00 Sunday: $200.00 By signing this renewal application, applicant certifies that there has been no change in ownership on the above named licensee. For changes in ownership, the licensee named above, or for new licensees, full applications should be used. See back of this application for further information needed to complete this renewal. Annlicant's signature an this renewal confirms the following: Failure to renort any of the followina may result in civil nenalties. 1. Licensee confirms it has no interest whatsoever, directly or indirectly in any other liquor establishments in Minnesota. If so, give details on back of this application. 2. Licensee confirms that it has never had a liquor license rejected by any city/township/county, in the state of Minnesota. If ever rejected, please give details on the back of this renewal, then sign below. 3. Licensee confirms that for the past five years it has not had a liquor license revoked for any liquor law violation (state or local). If a revocation has occurred, please give details on the back of this renewal, then sign below. 4. Licensee confirms that during the past five years it or its employees have not been cited for any civil or criminal liquor law violations. If Violations have occurred, please give details on back of this renewal, then sign below. 5. Licensee confirms that during the past license year, a summons has not been issued under the Liquor Liability Law (Dram Shop) MS 340A.802. If yes, attach a copy of the summons, then sign below. 6. Licensee confirms that Workers Compensation insurance will be kept in effect during the license period.Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. $100,000 in cash or securities or $310,000 surety bond maybe submitted in lieu of liquor liability.(3.2 liquor licenses are exempt if sales are less than $2go0 at on sale, or $50,000 at off sale). DOB SSN Date all above Information to be correct and license has been approved by city/county.) City Clerk/Auditor Signature Date (Signature certifies that renewal of a liquor, wine or club license has been approved by the city/county as stated above.) County Attorney Signature Date County Board issued licenses only(Signature certifies licensee is eligible for license). Signature certifies licensee or associates have been checked for any state/local liquor law violations (criminal/civil) during the past five years. Report violations on back, then sign here. a Minnesota Department of Public Safety Alcohol & Gambling Enforcement Division 445 Minnesota Street, 1600 St Paul, Minnesota 55101 651-201-7507 RENEWAL OF LIQUOR, WINE, CLUB OR 3.2% LICENSES No license will be approve or released until the $20 Retailer ID Card fee is received by Alcohol and Gambling Enforcement Licensee: Please verify your license Information contained below. Make corrections if necessary and sign. City Clark/County Auditor should submit this signed renewal with completed license and licensee liquor liability for the new license period. City Clark/County Auditor are also required by M.S. 340A.404 S.3 to report any license cancellation. Licanse Code: ONSS License Period Ending: 12/31/2021 Iden: 71335 Issuing Authority: Andover Licensee Name: Triple Shift Entertainment LLC Trade Name: Andover Lanes Address: 13633 Martin St NW Andover, MN 55304 Business Phone: 7637548000 License Fees: Off Sale: $0.00 On Sale: $5,250.00 Sunday: $200.00 By signing this renewal application, applicant certifies that there has been no change in ownership on the above named licensee. For changes in ownership, the licensee named above, orfor new licensees, full applications should be used. See back of this application for further Information needed to complete this renewal. Aonlicanft signature on this renewal confirms the following: Failure to report any of the following may result In civil nenalties. 1. Licensee confirms it has no interest whatsoever, directly or indirectly in any other liquor establishments in Minnesota. If so, give details on back of this application.PLeo_V Oeo0--4vLCjr" 2. Licensee confirms that it has never had a liquor license rejected by any city/township/county in the state of Minnesota. If ever rejected, please give details on the back of this renewal, then sign below. 3. Licensee confirms that forthe past five years it has not had a liquor license revoked for any liquor law violation (state or local). If a revocation has occurred, please give details on the back of this renewal, then sign below. . 4. Licensee confirms that during the past five years it or lis employees have not been cited for any civil or criminal liquor law violations. If violations have occurred, please give details on back of this renewal, then sign below. 5. Licensee confirms that during the past license year, a summons has not been Issued under the Liquor Liability Law (Dram Shop) MS 340A.802. If yes, attach a copy of the summons, then sign below. 6. Licensee confirms that Workers Compensation Insurance will be kept in effect during the license pericd.Licensee has attached a liquor liabl By insurance certificate that oorresponde with the license period in city/county Where�ceilSe is Issued._._..___—_. -- — Licensee has attached a liquor liability Insurance certificate that corresponds with the license period in city/county where license is Issued. $100,000 in cash or securities or $310,000 surety bond maybe submitted in lieu of liquor liability.(3.2 liquor licenses are exempt If sales are less than $25,000 at on sale, or $50,000 at off sale). 11/12/2021 Licensee Signature DOB 8 -SN Data (Signature certifies all above Information to be correct and license has been approved by city/county.) City Clerk/Auditor Signature Date (Signature certifies that renewal of a liquor, wine or club license has been approved by the city/county as stated above.) County Attorney Signature Date County Board issued licenses onty(Signature certifies licensee is eligible for license). Signature certifies licensee or associates have been checked for any statellocal liquor law violations (criminallcivil) during the past five years. Report vlolations-on back then sign here: ... -- -. - --------. _._._ .._._ .._ -._---- ....... ...... .. .--..—__._..-. e; •,'j," D iejit Ret VYCNC-WY2AL-k8kd-6 E9 ?2+•A" -'i Riige..t'of221_,. Minnesota Department of Public Safety Alcohol & Gambling Enforcement Division 445 Minnesota Street, 1600 1 St Paul, Minnesota 55101 6651-201-7507 RENEWAL OF LIQUOR, WINE, CLUB OR 3.2% LICENSES lohcensa•vrll�beapptoveatreleased.unbl the, .20Retarlerl0-Cardf'19edeivedbyQfcoholenaGam66ngEnforcementZA Licensee:. Please verify your license information contained below. Make corrections if necessary and sign. City Clerk/CountyAuditor should submit this signed renewal with completed license and licensee liquor liability for the new license period. City Clerk/County Auditor are also required by M.S. 340A.404 S.3 to report any license cancellation. License Code: Issuing Authority: Licensee Name: Trade Name: Address: ONSS Andover Pappy's Cafe Inc. Pappy's Cafe & Tavern 13827 Round Lk Blvd. License Period Ending: 12/31/2021 Iden: 31643 —,_Andover: MN -55304, Business Phone: 7634274840 License Fees: Off Sale: $0.00 On Sale: $5,250.00 Sunday: $200.00 By signing this renewal application, applicant certifies that there has been no change in ownership on the above named licensee. For changes in ownership, the licensee named above, or for new licensees, full applications should be used. See back of this application for further information needed to complete this renewal. Avolicant's signature on this renewal confirms the following: Failure to report any of the following may result in civil oenaltles. 1. Licensee confirms it has no interest whatsoever, directly or indirectly in any other liquor establishments in Minnesota. If so, give details on back of this application. 2. Licensee confirms that it has never had a liquor license rejected by any city/township/county in the state of Minnesota. If ever rejected, please give details on the back of this renewal, then sign below. 3. Licensee confirms that forthe past fire years it has not had a liquor license revoked for any liquor law violation (state or local). If a revocation has occurred, please give details on the back of this renewal, then sign below. 4. Licensee confirms that during the past five years it or its employees have not been cited for any civil or criminal liquor law violations. If violations have occurred, please _give details on back of this renewal, then sign below. 5. Licensee confirms that during the past license year, a summons has not been Issued under the Liquor Liability Law (Dram Shop) MS 340A.802. If yes, attach a copy of the summons, then sign below. 6. Licensee confirms that Workers Compensation Insurance will be kept in effect during the license pedod.Licensee has attached a liquor , liability insurance cenyficate that corresponds with the license period in city/county where license is issued. Licensee hasattached a liquor liability insurance certificate that corresponds with the license period in city/county where license is Issued. $100,000 in cash or securities or $310,000 surety bond may be submitted in lieu of liquor liability.(3.2 liquor licenses are exempt " lfsales are less-thari$25;000-arbn sate; - r $50;000 at off sale). - - - - ' Licensee Signature .a,–DOB -- SSN Date (Signature certifies all above information to be correct and license has been approved by city/county.) City Clerk/Auditor Signature Date (Signature certifies that renewal of a liquor, wine or club license has been approved by the city/county, as stated above.) County Attorney Signature Date County Board issued licenses only(Signature certifies licensee is eligible for license). Signature cerffies licensee or associates have been checked for any state/local liquor law violations (criminallcivil) during the past five years. Report violations on back, then sign here. „ Minnesota Department of Public Safety Alcohol & Gambling Enforcement Division 445 Minnesota Street, 1600 St Paul, Minnesota 55101 `l ✓ 651-201-7507 ' RENEWAL OF LIQUOR ,WINE, CLUB OR 3.2% LICENSES No license will be approve or released until the $20 Retailer ID Card fee is received by Alcohol and Gambling Enforcement Licensee: Please verify your license information contained below. Make corrections if necessary and sign. City Clerk/County Auditor should submit this signed renewal with completed license and licensee liquor liability for the new license period. City Clerk/County Auditor are also required by M.S. 340A.404 8.3 to report any license cancellation. License Code: ONSS License Period Ending: 12/31/2021 Iden: 37874 Issuing Authority: Andover Licensee Name: Unique Dining Experiences LLC Trade Name: Courtyards of Andover Address: 13545 Martin St NW Andover, MN 55304 Business Phone: 7637546953 License Fees: Off Sale: $0.00 On Sale: $5,250.00 Sunday: $200.00 By signing this renewal application, applicant certifies that there has been no change in ownership on the above named licensee. For changes in ownership, the licensee named above, or for new licensees, full applications should be used. See back of this application for further information needed to complete this renewal. Applicant's slanature on this renewal confirms the following: Failure to report any of the followina may result in civil bans ties 1. Licensee confirms it has no interest whatsoever, directly or indirectly in any other liquor establishments in Minnesota. If so, give details on back of this application. 2. Licensee confirms that it has never had a liquor license rejected by any city/township/county in the state of Minnesota. If ever rejected, please give details on the back of this renewal, then sign below. 3. Licensee confirms that forthe past five years it has not had a liquor license revoked for any liquor law violation (state or local). If a revocation has occurred, please give details on the back of this renewal, then sign below. 4. Licensee confirms that dudng the past five years it or its employees have not been cited for any civil or criminal liquor law violations. If Violations have occurred, please give details on back of this renewal, then sign below. 5. Licensee confirms that during the past license year, a summons has not been issued under the Liquor Liability Law (Dram Shop) MS 340A.802. If yes, attach a copy of the summons, then sign below. 6. Licensee confirms that Workers Compensation insurance will be kept in effect during the license pedod.Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. $100,000 In cash or securities or $310,000 surety bond may be submitted in lieu of liquor liability.(3.2 liquor licenses are exempt If sales are less than $25,000 at on sale, or $50,000 at off sale). ',ignature`—' DOB SSN Date certifies all above information to be correct and license has been approved by city/county.) City Clerk/Auditor Signature Date (Signature certifies that renewal of a liquor, wine or club license has been approved by the city/county as stated above.) County Attorney Signature Date County Board issued licenses only(Signature certifies licensee is eligible for license). J! d -1/9 Police/Shed ignature Da e Signature difies licensee or associates have been checked for any state/local liquor law violations (criminal/civil) during the past five years. Report violations on back, then sign here. Minnesota Department of Public Safety Alcohol & Gambling Enforcement Division 445 Minnesota Street, 1600 St Paul, Minnesota 55101 651-201-7507 r RENEWAL OF LIQUOR ,WINE, CLUB OR 3.2% LICENSES No license will be approve or released until the $20 Retailer ID Card fee is received by Alcohol and Gambling Enforcement Licensee: Please verify your license information contained below. Make corrections if necessary and sign. City Clerk/County Auditor should submit this signed renewal with completed license and licensee liquor liability for the new license period. City Clerk/County Auditor are also required by M.S. 340A.404 S.3 to report any license cancellation. License Code: ONSS License Period Ending: 12/31/2021 Iden: 45200 Issuing Authority: Andover Licensee Name: Willy McCoys of Andover LLC Trade Name: Willy McCoys Address: 13655 Martin St Andover. MN 55304 Business Phone: 6127705444 License Fees: Off Sale: $0.00 On Sale: $5,250.00 Sunday: $200.00 By signing this renewal application, applicant certifies that there has been no change in ownership on the above named licensee. For changes in ownership, the licensee named above, or for new licensees, full applications should be used. See back of this application for further information needed to complete this renewal. Aonlicant's sicnature on this renewal confirms the following: Failure to renort any of the following may result in civil penalties. 1. Licensee confirms it has no interest whatsoever, directly or indirectly in any other liquor establishments in Minnesota. If so, give details on back of this application. 2. Licensee confirms that it has never had a liquor license rejected by any city/township/county in the state of Minnesota. If ever rejected, please give details on the back of this renewal, then sign below. 3. Licensee confirms that for the past five years it has not had a liquor license revoked for any liquor law violation (state or local). If a revocation has occurred, please give details on the back of this renewal, then sign below. 4. Licensee confirms that during the past five years it or its employees have not been cited for any civil or criminal liquor law violations. If violations have occurred, please give details on back of this renewal, then sign below. 5. Licensee confirms that during the past license year, a summons has not been issued under the Liquor Liability Law (Dram Shop) MS 340A.802. If yes, attach a copy of the summons, then sign below. 6. Licensee confirms that Workers Compensation insurance will be kept in effect during the license pedod.Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. $100,000 in cash or securities or $310,000 surety bond maybe submitted in lieu of liquor liability.(3.2 liquor licenses are exempt if sales are less than $25,000 at on sale, or $50,000 at off sale). -.... -r /0:!U Z Licensee Signature DOB SSN Date (Signature certifies all above information to be correct and license has been approved by city/county.) City Clerk/Auditor Signature Date (Signature certifies that renewal of a liquor, wine or club license has been approved by the city/county as stated above.) County Attorney Signature Date County Board issued licenses only(Signature certifies licensee is eligible for license). Signature certifies licensee or associates have been checked for any state/local liquor law violations (criminal/civil) during the past five years. Report violations on back, then sign here. a; Minnesota Department of Public Safety W Alcohol R Gambling Enforcement Division tt`d 445 Minnesota Street, 1600 St Paul, Minnesota 55101 651-201-7507 RENEWAL OF LIQUOR, WINE, CLUB OR 3.2% LICENSES No license will be approve or released until the $20 Retailer ID Card fee is received by Alcohol and Gambling Enforcement Licensee: Please verify your license information contained below. Make corrections if necessary and sign. City Clerk/County Auditor should submit this signed renewal with completed license and licensee liquor liability for the new license period. City Clerk/County Auditor are also required by M.S. 340A.404 S.3 to report any license cancellation. License Code: OFSL Issuing Authority: Andover Licensee Name: WCR Liquors Inc. Trade Name: G -Will Liquors Address: 13973 Round Lk Blvd NW Andover, MN 55304 Business Phone: 763-421-1117 License Fees: Off Sale: $200.00 License Period Ending: 12/31/2021 Iden: 1634 On Sale: $0.00 Sunday: $0.00 By signing this renewal application, applicant certifies that there has been no change in ownership on the above named licensee. For changes in ownership, the licensee named above, or for new licensees, full applications should be used. See back of this application for further information needed to complete this renewal. Applicant's signature on this renewal confirms the following: Failure to report any of the following may result In civil Penalties. 1. Licensee confirms it has no interest whatsoever, directly or indirectly in any other liquor establishments in Minnesota. If so, give details on back of this application. 2. Licensee confirms that it has never had a liquor license rejected by any city/township/county, in the state of Minnesota. If ever rejected, please give details on the back of this renewal, then sign below. 3. Licensee confirms that for the past five years it has not had a liquor license revoked for any liquor law violation (state or local). If a revocation has occurred, please give details on the back of this renewal, then sign below. 4. Licensee confirms that during the past five years it or its employees have not been cited for any civil or criminal liquor law violations. If violations have occurred, please give details on back of this renewal, then sign below. 5. Licensee confirms that during the past license year, a summons has not been Issued under the Liquor Liability Law (Dram Shop) MS 340A.802. If yes, attach a copy of the summons, then sign below. 6. Licensee confirms that Workers Compensation insurance will be kept in effect during the license period.Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is Issued. $100,000 In cash orsecurities or $310,000 surety bond may be submitted in lieu of liquor liability.(3.2 liquor licenses are exempt if sales are less $25,000 at on sale„pr $50,000 at off sale). / .X//liAls++.'t'GF//n.Cdh/i7/7 west///./✓- ,1 /i 011OZ-1 Licensee Signature DOB SSN -Date (Signature certifies all above information to be correct and license has been approved by city/county.) City ClerWAuditor Signature Date (Signature certifies that renewal of a liquor, wine or club license has been approved by the city/county as stated above.) County Attorney Signature Date County Board issued licenses only(Signature certifies licensee is eligible for license). Signature'6ertifies licensee or associates have been checked for any statellocal liquor law violations (criminal/civil) during the past five years. Report violations on back, then sign here. Minnesota Department of Public Safety ` Alcohol & Gambling Enforcement Division 445 Minnesota Street, 1600 St Paul, Minnesota 55101 �_,, 651.201.7507 RENEWAL OF LIQUOR, WINE, CLUB OR 3.2% LICENSES No license will be approve or released until the $20 Retailer ID Card fee is received by Alcohol and Gambling Enforcement Licensee: Please verify your license Information contalned below. Make corrections if necessary and sign. City Clerk/County Auditor should submit this signed renewal with completed license and licensee liquor liability for the new license period. City Clerk/County Auditor are also required by M.S. 340A.404 8.3 to report any license cancellation. License Code: OFSL Issuing Authority., Andover Licensee Name: Yayln Gadol LLC Trade Name: Top Ten Liquors Address: 13627 Quinn St NW Andover, MN 55304 Business Phone: 6122377344 License Fees: off sale: $200.00 License Period Ending: 12/31/2021 Iden: 42137 On Sale: $0.00 Sunday: $0.00 By signing this renewal application, applicant certifies that there has been no change In ownership on the above named licensee. For changes In ownership, the licensee named above, or for now licensees, full applications should be used. See back of this application for further information needed to complete this renewal. AgglIcant's signature on this renewal confirms the following: Failure to report any of the following may result in civil penalties 1. Licensee confirms It has no Interest whatsoever, directly or Indirectly in any other liquor establishments In Minnesota. If so, give details on back of this application. 2. Licensee confirms that it has never had a liquor license rejected by any cityltownshlp/county in the state of Minnesota. If ever rejected, please give details on the back of this renewal, then sign below. 3. Licensee confirms that for the past five years It has not had a liquor license revoked for any liquor law violation (state or local). If a revocation has occurred, please give details on the back of this renewal, then sign below. 4. Licensee confirms that during the past five years It or Its employees have not been cited for any civil or criminal liquor law violations. If violations have occurred, please give details on back of this renewal, then sign below, 5. Licensee confirms that during the past license year, a summons has not been Issued under the Liquor Liability Law (Dram Shop) MS 340A.802. If yes, attach a copy of the summons, then sign below, 6. Licensee confirms that Workers Compensation Insurance will be kept in effect during the license pedod,Llcensee has attached a liquor liability insurance certIficate that corresponds with the license period in city/county where license is Issued. Licensee has attached a liquor liability Insurance certificate that corresponds with the license period In city/county where license is Issued. $100,000 In cash or securities or $140,000 surety bond maybe submitted in Ileu of liquor Ilabllity.(3.2 liquor licenses are exempt If sales are less than $2;i;8U0 at on salgd 0 0,600 at off sale). e 11/9/2021 Hgneture DOB SSN Date certifies alt above Information to be correct and license has been approved by city/county.) City Clerk/Auditor Signature Date (Signature certifies that renewal of a liquor, wine or club license has been approved by the city/county as stated above.) County Attorney Signature Date County Board issued licenses only(Signature certifies licensee Is eligible for license). Slgnat a certifies licensee or associates have been checked for any state/local liquor taw vlolatlons (criminal/civil) during the past five years. Report violations on back, then sign here. Minnesota Department of Public Safety e\` Alcohol 8: Gambling Enforcement Division ! 445 Minnesota Street, 1600 4\ St Paul, Minnesota 551011 651.201-7507 RENEWAL OF LIQUOR, WINE, CLUB OR 3.2% LICENSES No license will be approve or released until the $20 Retailer ID Card fee is received by Alcohol and Gambling Enforcement Licensee: Please verify your license information contained below. Make corrections if necessary and sign. City Clerk/County Auditor should submit this signed renewal with completed license and licensee liquor liability for the new license period. City Clerk/County Auditor are also required by M.S. 340A.404 S.3 to report any license cancellation. License Code: MWNONSB License Period Ending: 12/31/2021 Iden: 65082 Issuing Authority: Andover Licensee Name: Joy Kitchen Inc. Trade Name: Joy Kitchen Address: 13650 Hanson Blvd NW Ste 102 Andover, MN 55304 Business Phone: 7635672720 License Fees: Off Sale: $0.00 On Sale: $500.00 Sunday: $0.00 By signing this renewal application, applicant certifies that there has been no change in ownership on the above named licensee. For changes in ownership, the licensee named above, or for new licensees, full applications should be used. See back of this application for further information needed to complete this renewal. Anolicant's signature on this renewal confirms the following: Failure to report any of the following may result in civil penalties. 1. Licensee confirms it has no interest whatsoever, directly or indirectly in any other liquor establishments in Minnesota. If so, give details on back of this application. 2. Licensee confirms that it has never had a liquor license rejected by any city/township/county in the state of Minnesota. If ever rejected, please give details an the back of this renewal, then sign below. 3. Licensee confirms that for the past five years it has not had a liquor license revoked for any liquor law violation (state or local). If a revocation has occurred, please give details on the back of this renewal, then sign below. 4. Licensee confirms that during the past five years it or Its employees have not been cited for any civil or criminal liquor law violations. If violations have occurred, please give details on back of this renewal, then sign below. 5. Licensee confirms that during the past license year, a summons has not been issued under the Liquor Liability Law (Dram Shop) MS 340A.802. If yes, attach a copy of the summons, then sign below. 6. Licensee confirms that Workers Compensation insurance will be kept in effect during the license period.Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. $100,000 in cash or securities or $310,000 surety bond maybe submitted in lieu of liquor liability.(3.2 liquor licenses are exempt if sales ars than 25000 at on sale, or $50,000 at off sale). Licensee Signature DOB SSN Date (Signature certifies all above information to be correct and license has been approved by city/county.) City Clerk/Auditor Signature Date (Signature certifies that renewal of a liquor, wine or club license has been approved by the city/county as stated above.) County Attorney Signature Date County Board issued licenses only(Signature certifies licensee is eligible for license). a/ Signatfire certifies licensee or associates have been checked for any state/local liquor law violations (criminal/civil) during the past five years. Report violations on back, then sign here. Minnesota Department of Public Safety Alcohol & Gambling Enforcement Division 445 Minnesota Street, 1600 St Paul, Minnesota 55101 ., 651-201-7507 RENEWAL OF LIQUOR, WINE, CLUB OR 3.2% LICENSES No license will be approve or released until the $20 Retailer ID Card fee is received by Alcohol and Gambling Enforcement Licensee: Please verify your license information contained below. Make corrections if necessary and sign. City Clerk/County Auditor should submit this signed renewal with completed license and licensee liquor liability_forthe new license period. City Clerk/County Auditor are also required by M.S. 340A.404 S.3 to report any license cancellation. License Code: 3.2ONSS License Period Ending: 12/31/2021 Iden: 65063 Issuing Authority: Andover Licensee Name: Joy Kitchen Inc. Trade Name: Joy Kitchen Address: 13650 Hanson Blvd NW Ste 102 Andover, MN 55304 Business Phone: License Fees: Off Sale: $0.00 On Sale: $500.00 Sunday: $0.00 By signing this renewal application, applicant certifies that there has been no change In ownership on the above named licensee. For changes in ownership, the licensee named above, or for new licensees, full applications should be used. See back of this application for further information needed to complete this renewal. Applicant's signature on this renewal confirms the following: Failure to report any of the following may result in civil penalties. 1. Licensee confirms it has no interest whatsoever, directly or indirectly in any other liquor establishments in Minnesota. If so, give details on back of this application. 2. Licensee confirms that it has never had a liquor license rejected by any city/township/county in the state of Minnesota. If ever rejected, please give details on the back of this renewal, then sign below. 3. Licensee confirms that for the past five years it has not had a liquor license revoked for any liquor law violation (state or local). If a revocation has occurred, please give details on the back of this renewal, then sign below. 4. Licensee confirms that during the past five years it or its employees have not been cited for any civil or criminal liquor law violations. If Violations have occurred, please give details on back of this renewal, then sign below. 5. Licensee confirms that during the past license year, a summons has not been issued under the Liquor Liability Law (Dram Shop) MS 340A.802. If yes, attach a copy of the summons, then sign below. 6. Licensee confines that Workers Compensation insurance will be kept in effect during the license period.Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. $100,000 in cash or securities or $310,000 surety bond may be submitted in lieu of liquor liability.(3.2 liquor licenses are exempt if sales are less than $25,000 at on sale, or $50,000 at off sale). Licensee Signature DOB — SSN Date (Signature certifies all above information to be correct and license has been approved by city/county.) City Clerk/Auditor Signature Date (Signature certifies that renewal of a liquor, wine or club license has been approved by the city/county as stated above.) County Attorney Signature Date County Board issued licenses only(Signature certifies licensee is eligible for license). Signature certifies licensee or associates have been checked for any state/local liquor law violations (criminal/civil) during the past five years. Report violations on back, then sign here. --V, Minnesota Department of Public Safety \ Alcohol & Gambling Enforcement Division 445 Minnesota Street, 1600 St Paul, Minnesota 551011 651-201-7507 RENEWAL OF LIQUOR, WINE, CLUB OR 3.2% LICENSES No license will be approve or released until the $20 Retailer ID Card fee is received by Alcohol and Gambling Enforcement Licensee: Please verify your license information contained below. Make corrections if necessary and sign. City Clerk/County Auditor should submit this signed renewal with completed license and licensee liquor liability for the new license period. City Clerk/County Auditor are also required by M.S. 340A.404 S.3 to report any license cancellation. License Code: 3.2OFSL License Period Ending: 12/31/2021 Iden: 71624 Issuing Authority: Andover Licensee Name: Knowlan's Super Markets Inc. Trade Name: Festival Foods Address: 2218 Bunker Lake Blvd Andover, MN 55304 Business Phone: 763-755-1415 License Fees: Off Sale: $75.00 On Sale: $0.00 Sunday: $0.00 By signing this renewal application, applicant certifies that there has been no change In ownership on the above named licensee. For changes in ownership, the licensee named above, or for new licensees, full applications should be used. See back of this application for further information needed to complete this renewal. Applicant's signature on this renewal confirms the following: Failure to report any of the followina may result In civil penalties. 1. Licensee confirms it has no interest whatsoever, directly or indirectly in any other liquor establishments in Minnesota. If so, give details on back of this application. 2. Licensee confirms that it has never had a liquor license rejected by any city/township/county in the state of Minnesota. If ever rejected, please give details on the back of this renewal, then sign below. 3. Licensee confines that for the past five years it has not had a liquor license revoked for any liquor law violation (state or local). If a revocation has occurred, please give details on the back of this renewal, then sign below. 4. Licensee confirms that during the past five years it or its employees have not been cited for any civil or criminal liquor law violations. If violations have occurred, please give details on back of this renewal, then sign below. 5. Licensee confirms that during the past license year, a summons has not been Issued under the Liquor Liability Law (Dram Shop) MS 340A.802. If yes, attach a copy of the summons, then sign below. 6. Licensee confirms that Workers Compensation insurance will be kept in effect during the license pedod.Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. $100,000 in cash or securities or $310,000 surety bond maybe submitted in lieu of liquor liability.(3.2 liquor licenses are exempt if sales are lei than $2 p 0 n sale, or $50,000 at off sale). l t 4 X14 Licensee Signature DOB' —'-- SSN Date (Signature certifies all ab information to be correct and license has been approved by city/county.) City Clerk/Auditor Signature' Date (Signature certifies that renewal of a liquor, wine or club license has been approved by the city/county as stated above.) County Attorney Signature Date County Board issued licenses only(Signature certifies licensee is eligible for license). Q y/-? SignatGre certifies licensee or associates have been checked for any state/local liquor law violations (criminal/civil) during the past five years. Report violations on back, then sign here. Minnesota Department of Public Safety Alcohol & Gambling Enforcement Division lv-�'—wDo 445 Minnesota Street, 1600 St Paul, Minnesota 55101 651-201-7507 RENEWAL OF LIQUOR, WINE, CLUB OR 3.2% LICENSES No license will be approve or released until the $20 Retailer ID Card fee is received by Alcohol and Gambling Enforcement Licensee: Please verify your license information contained below. Make corrections if necessary and sign. City Clerk/County Auditor should submit this signed renewal with completed license and licensee liquor liability for the new license period. City Clerk/County Auditor are also required by M.S. 340A.404 S.3 to report any license cancellation. License Code: 3.2OFSL License Period Ending: 12/31/2021 Iden: 32936 Issuing Authority: Andover Licensee Name: Kwik Trip Inc. Trade Name: Kwik Trip #812 Address: 1756 Bunker Lake Blvd NW Andover, MN 55304 Business Phone: 7637574905 License Fees: Off Sale: $75.00 On Sale: $0.00 Sunday: $0.00 By signing this renewal application, applicant certifies that there has been no change in ownership on the above named licensee. For changes in ownership, the licensee named above, or for new licensees, full applications should be used. See back of this application for further information needed to complete this renewal. Aonlican£s signature on this renewal confirms the following: Failure to reoort any of the following may result in civil oenalties 1. Licensee confirms it has no interest whatsoever, directly or indirectly in any other liquor establishments in Minnesota. If so, give details on back of this application. 2. Licensee confirms that it has never had a1lquor license rejected by any city/township/county in the state of Minnesota. If ever rejected, please give details on the back of this renewal, then sign below. 3. Licensee confirms that for the past five years it has not had a liquor license revoked for any liquor law violation (state or local). If a revocation has occurred, please give details on the back of this renewal, then sign below. 4. Licensee confirms that during the past five years it or Its employees have not been cited for any civil or criminal liquor law violations. If violations have occurred, please give details on back of this renewal, then sign below. 5. Licensee confirms that during the past license year, a summons has not been issued under the Liquor Liability Law (Dram Shop) MS 340A.802. If yes, attach a copy of the summons, then sign below. 6. Licensee confirms that Workers Compensation insurance will be kept In effect during the license period.Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. $100,000 in cash or securities or $310,000 surety bond may be submitted in lieu of liquor liability.(3.2 liquor licenses are exempt if sales aW less than $25,0941 on sale, or $50,000 at off sale). Licensee Signature DOB SSN (Signature certifies ajve information to be correct and license has been approved by city/county.) 1-d -?- 24)RI Date City Clark/Auditor Signature Date (Signature certifies that renewal of a liquor, wine or club license has been approved by the city/county as stated above.) Date Board issued licenses only(Signature certifies licensee is eligible for license). Signat4re certifies licensee or associates have been checked for any state/local liquor law violations (criminal/civil) during the past five years. Report violations on back, then sign here. Minnesota Department of Public Safety af'' raj Alcohol & Gambling Enforcement Division 445 Minnesota Street, 1600 St Paul, Minnesota 55101 .0 651-201-7507 a RENEWAL OF LIQUOR, WINE, CLUB OR 3.2% LICENSES No license oil be approve or released until the $20 Retailer ID Card fee is received by Alcohol and Gambling Enforcement Licensee: Please verify your license Information contained below. Make corrections if necessary and sign. City Clerk/County Auditor should submit this signed renewal with completed license and licensee liquor liability for the new license period. City ClerklCounty Auditor are also required by M.S. 340A.404 S.3 to report any license cancellation. License Code: Issuing Authority: Licensee Name: Trade Name: Address: 3.20FSL Andover Walmart Inc. Walmert#1999 1851 Bunker Lake Blvd Andover, MN 55304 Business Phone: 7633541559 License Fees: Off Sale: $75.00 License Period Ending, 12131/2021 Iden: 67744 On Sale: $0.00 Sunday., $0.00 By signing this renewal application, applicant certifies that there has been no change In ownership an the above named licensee. For changes in ownership, the licensee named above, or for new licensees, full applications should be used. See back of this application for further Information needed to comptate this renewal. Applicanrs slonature on this renewal confirms the following: Failure to report any of the following may result in civil penalties. 1. Licensee confirms it has no interest whatsoever, directly or indirectly in any other liquor establishments in Minnesota. if se, give details on back of this application. 2. Licensee confirms that it has never had a liquor license rejected.by any city/tawnship/county in the state of Minnesota. If ever rejected, please give details on the back of this renewal, then sign below. 3. Licensee confirms that for the past five years it has not had a liquor license revoked for any liquor law violation (state or local). If a revocation has occurred, please give details an the back of this renewal, then sign below. 4. Licensee confirms that during the past five years It or its employees have not been cited for any civil or criminal liquor law violations. If violations have occurred, please give details on back of this renewal, then sign below. 5. Licensee confirms that during the past license year, a summons has not been issued under the Liquor Liability Law (Dram Shop) MS 340A.802. If yes, attach a copy of the summons, then sign below. 6. Licensee confirms that Workers Compensation insurance will be kept in effect during the license pariod.Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. Licensee has attached a liquor liability insurance certificate that corresponds with the license period in city/county where license is issued. $100,000 in cash or securities or $310,000 surety bond may be submitted in Ileu of liquor liability.(3.2 liquor licenses are exempt if sales are less than $25,000 at on sale, or $50,000 at off sale). 10/11/2021 Licensee Slgnature rDOB SSN Date (Signature certifies all above informal4alb, correct and license has been approved by ciVcounty.) City CleddAuditor Signature Date (Signature certifies that renewal of a liquor, wine or club license has been approved by the city/county as stated above.) County Attorney Signature Date County Board issued licenses any(Signature certifies licensee is eligible for license). sfgnatd-re certifies licensee or associates have been checked for any state/local liquor law violations (criminallcivil) during the past five years. Report violations on back, then sign here. 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV TO: Mayor and City Council CC: Jim Dickinson, City FROM: Michelle Hartner, Deputy City Clerk SUBJECT: Approve Used Vehicle Sales Business License/3138 162nd Lane NW DATE: December 7, 2021 INTRODUCTION Nikita Skorykh, Prime Auto Group LLC has applied for a Used Vehicle Sales Business License. DISCUSSION The applicant will be a tenant at the subject property and will operate a used vehicle sales business. The applicant is a state licensed used vehicle sales dealer. The appropriate application fee has been paid. A Condition Use Permit was approved at 3138 -162nd Lane NW on September 16, 2014. (See attached resolution R073-14) There is currently five other city licensed tenants at this property. ACTION REQUIRED The City Council is requested to approve the above license for the period December 8, 2021 through December 31, 2022. Respectfully submitted, Michelle Harmer Deputy City Clerk Attach: License application Resolution R073-14 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV Used Vehicle Sales Business License Application Required Documents: ,/• Completed Application Form f/• Vehicle Sales License Fee: $105.00 Copy of Current Photo Identification ate/ Copy of State Dealers License J• . Workers Compensation Form A', Completed Minnesota Vehicle Dealer License Commercial Location Checklist �• Copy of Verification of Property Lease Person Applying For License: First Name 1 V j j,U f ct Middle Name Home Address " City Home Phone Date of Birth: I , - " / Last Name 540X'! � Email State Zip Business Phone 7 &3. %Z -�, " 8 /`} (a -- ^ - - — - ,... Drivers License No. Property Owner Informati��on��::,..� First Name X (JG ( W W�' lddle Name Last Name Home Address 921S 1 b2tjCk s% 5 Email City &40yey I State #A N Zip SS3o `I Home Phone Business Phone (a I Z -i y 3 - 9j--,8& If there are multiple property owners attach complete information for each owner. Business Information: Business Name it 1/', Business Address 3136 102 tJ )-,YVW STIa.f 1 Email ove-yr AMM 5_53vy � City Minnesota Business ID No. State State of Minnesota Dealership License No. (AL2 YJ Z $,f Zip I (We) agree to operate such business in accordance with the laws of Minnesota and the ordinances of the City of Andover. The foregoing statements are true and correct to the best of my knowledge and belief and I understand that providing false, incomplete or inaccurate information may be cause for denial of my license. In addition, I understand the following: Information in this application is classified as public data and will be provided to the public upon request. Licenses expire on December 31" of each year. Payment of annual licensing fee shall be sufficient to renew license unless other action under the City Code is taken by the City. Lack of payment of annual licensing fee shall be cause for revocation of license. I understand that a background check will be conducted as a part of the application process. /0. Z -1 Date 60 Day date 120 Day date STATE O E MINNESOTA Dealer License Certificate DEALER NUMBER: Name: Address: Additional Location: DLR40285 PRIME AUTO GROUP LLC 3138 162ND LANE NW STE B ANDOVER MN 55304 Owners/Officers NIKITA VASILIYEVICH SKORYKH EXPIRATION: Dealer Type: 31 -Jan -2022 Used _""'Sir�he I��tsrvi�+E3s CITY OF ANDOVER COUNTY OF ANOKA ® STATE OF MINNESOTA RES. NO. R073-14 A RESOLUTION APPROVING CONDITIONAL USE PERMIT FOR AN INCREASE IN THE NUMBER OF USED VEHICLE SALES ON PROPERTY LOCATED AT 3138 162' LANE NW LEGALLY DESCRIBED AS THE EAST 150 FEET OF THE WEST 400 FEET OF THE SOUTH 433 FEET OF THE NORTH 2184.99 FEET OF THE WEST HALF OF THE NORTHWEST QUARTER OF SECTION 16 TOWNSHIP 32 RANGE 24, ANOKA COUNTY MINNESOTA, EXCEPT ROAD, SUBJECT TO EASEMENTS OF RECORD. WHEREAS, the applicant has received approval of a conditional use permit to allow used vehicle sates on the subject property; and WHEREAS, Resolution R055-11 limited the number of used vehicle sales licenses to one license and limited the number of vehicles that could be displayed on the subject property to five vehicles; and WHEREAS, Resolution R042-12 limited the number of used vehicle sales licenses to five licenses and limited the number of vehicles that could be displayed on the subject property to twenty-five vehicles; and WHEREAS, the applicant has requested an amendment to the approved conditional use permit to allow for an additional two used vehicle sales licenses to be issued for the subject property; and WHEREAS, the Planning Commission finds the request would not have a detrimental effect upon the health, safety, and general welfare of the City of Andover, and; WHEREAS, the Planning Commission recommends to the City Council approval of the conditional use permit request, and; NOW, THEREFORE, BE IT RESOLVED, that the City Council of the City of Andover has received the recommendation of the Planning Commission and approves used vehicle sales on the subject property subject to the following: 1. The applicant shall obtain approval of all additional vehicle sales Iicenses from the City Council as required by City Code 3-8. 2. There shall be no more than seven used vehicle dealer licenses allowed for the property. 3. All vehicle sales dealers licensed to operate on the subject property shall comply with all state requirements for motor vehicle dealers and must maintain current state and city licenses. ® 4. Each vehicle sales dealer shall be required to have at least five parldng stalls for display, either indoors or outdoors. The display area is designated for the exclusive use of each dealership and shall be distinguished from any other business' inventory. 5. The hours of operation shall be limited to Monday through Saturday between the hours of 6:00 am and 9:00 pm. ® 6. Any sign that no longer identifies a current business on the property must be removed within one month of the business vacating the property. 7. Any vehicle that is not operable shall not be visible from public streets and shall not be stored outdoors for more than 48 hours. 8. Trash containers shall be screened, stored within an enclosure or stored inside a building as required by the City Code. 9. This resolution supersedes Resolution No. R042-12 adopted by the City Council on April 17, 2012. 10. The applicant shall provide or arrange for City access to the property for purposes of inspection upon request during normal business hours, and without unreasonable delay. 11. Customer parking on the site plan shall be the parking stalls along the west boundary along the westerly entrance. 12. Signage will be added that is visible from 162°d Lane that will meet with state dealer licensing requirements. Sign request will be made through a regular city sign permit request. © 13. Warehouse building and entrances will be painted within one year from the date of Conditional Use permit Approval. Adopted by the city Council of the City of .Andover on this 16th day of September, 2014. CITY OF ANDOVER ATTEST: chael R, Ga ache, Mayor �Mcelle Harmer, Deputy City Clerk 2 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV TO: Mayor and Councilmembers CC: James Dickinson, City FROM: Dana Makinen, Human Resources SUBJECT: Approve City Administrator Review DATE: December 7, 2021 INTRODUCTION The City Council held a special executive session on November 23`d, 2021 to evaluate the performance of the City Administrator James Dickinson. The evaluation of the City Administrator, James Dickinson, was conducted in an executive session by the City Council as permitted by state open meeting laws. In summary review of the Council's discussion with the City Administrator, it was determined that City Administrator Dickinson exceeds the expectations of the City Council. The City Council appreciates all the efforts of City Administrator Dickinson the past 2 years, he is flexible, innovative and a resource to all. The City Administrator was evaluated in the areas of Council relations, fiscal management, personnel, supervision, leadership, intergovernmental relations and community relations. The City Council has authorized City Administrator Dickinson receive a one-time payout of 80 hours of his Annual Leave but encourages City Administrator Dickinson to use his Annual Leave in the fixture. ACTION REQUESTED Council is requested to approve the results of City Administrator Dickinson's performance reviews as satisfactory and authorize a renewal of his contract for another year. Respectfully submitted, �h�k___l Dana Makinen 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV TO: CC: FROM: SUBJECT: DATE: Mayor and Councilmembers N \X� �_� Jim Dickinson, City Lee Brezinka, Finance Manager Approve HVAC Preventative Maintenance Contract December 7, 2021 INTRODUCTION The City currently has an HVAC preventative maintenance contract for City Hall, Public Works, Vehicle Maintenance Facility, Fire Stations, Water Treatment Plant, Parks Buildings and Community Center with UHL Company. For future preventative maintenance agreements, the Community Center will acquire their own contract that covers their specialty equipment in addition to their HVAC equipment. DISCUSSION Preventative maintenance is crucial to extending the life of the HVAC systems in the city buildings. The quotes requested are for preventative maintenance of the HVAC systems in the city buildings for one year with the option of renewing for three additional years. Quotes from multiple contractors are listed below: NAC $18,140 no renewal option UHL Company $18,795 $20,328 annually for three additional years Cool Air $22,760 no renewal option Staff is recommending that the quote be awarded to UHL Company based on their quote, the three-year renewal option and the City's current experience with their technicians over the last four years. BUDGETIMPACT This contract is funded by the General Fund, Water Enterprise Fund and Central Equipment Internal Service Fund. ACTION REQUESTED The Andover City Council is requested to approve the HVAC preventative maintenance contract to UHL Company. Respectfully submitted, U4 Lee Brezinka 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV TO: Mayor and Councilmembers CC: Jim Dickinson, City Administr to FROM: Lee Brezinka, Finance Manager SUBJECT: Consider Award Sale of Bonds — Ehlers Associates DATE: December 7, 2021 INTRODUCTION Todd Hagen from Ehlers & Associates, the City's Financial Advisor, will be in attendance to present the results of the City's sale of the following bonds authorized at the October 19, 2021 council meeting providing for the sale: $7,960,000 General Obligation (G.O.) Street Reconstruction and Equipment Bonds, Series 2021A The bid opening will be at 10:00 a.m. on December 7th with consideration of the award of sale to be forwarded to the Andover City Council at approximately 7:00 p.m. that evening. DISCUSSION The City Council held a public hearing at the November 3, 2021 council meeting and approved a resolution giving preliminary approval for the issuance of the street reconstruction portion of the bonds and adopted the street reconstruction plan therefor the reverse referendum period ended on December 3, 2021. These bonds are being issued to finance street reconstruction and equipment purchases outlined in the 2022 — 2026 CIP. BUDGETIMPACT The $7,960,000 G.O. Street Reconstruction and Equipment Bonds, Series 2021A are funded by an annual tax levy. ACTION REQUESTED The Andover City Council is requested to approve the attached resolution accepting the proposals and awarding the sale of bonds based on the bid tabulation that will be presented by Ehlers & Associates at the meeting. Respectfully submitted, Lee Brezinka Attachments: Resolution EXTRACT OF MINUTES OF A MEETING CITY COUNCIL OF THE CITY OF ANDOVER, MINNESOTA HELD: DECEMBER 7, 2021 Pursuant to due call, a regular or special meeting of the City Council of the City of Andover, Anoka County, Minnesota, was duly held at the City Hall on December 7, 2021, at 7:00 P.M., for the purpose, in part of authorizing the issuance and awarding the sale of $7,960,000 General Obligation Street Reconstruction and Equipment Bonds, Series 2021A. The following members were present: and the following were absent: Member introduced the following resolution and moved its adoption: RESOLUTION NO. RESOLUTION PROVIDING FOR THE ISSUANCE AND SALE OF $7,960,000 GENERAL OBLIGATION STREET RECONSTRUCTION AND EQUIPMENT BONDS, SERIES 2021A, AND LEVYING A TAX FOR THE PAYMENT THEREOF A. WHEREAS, the City Council has heretofore determined and declared that it is necessary and expedient to issue $7,960,000 General Obligation Street Reconstruction and Equipment Bonds, Series 2021A (the "Bonds" or individually a "Bond"), pursuant to Minnesota Statutes, Chapters 475; and 1. Section 475.58, Subdivision 3b, to finance street reconstruction improvements under the City's Street Reconstruction Plan (the "Street Reconstruction Projects") in the amount of $ (the "Street Reconstruction Portion of the Bonds"); 2. Section 412.301 to finance the acquisition of capital equipment for the City (the "Equipment") in the amount of $ (the "Equipment Portion of the Bonds"); B. WHEREAS, on November 3, 2021, following duly published notice thereof, the Council held a public hearing on the issuance of approximately $ principal amount of bonds to finance the Street Reconstruction Projects and all persons who wished to speak or provide written information relative to the public hearing were afforded an opportunity to do so; and C. WHEREAS, no petition signed by voters equal to 5 percent of the votes cast in the City in the last municipal general election requesting a vote on the issuance of the street reconstruction bonds was filed with the City Administrator within 30 days after the public hearing on November 3, 2021; and D. WHEREAS, the Bonds, together with any outstanding bonds of the City that are subject to the City's net debt limit, do not exceed the City's net debt limit; and 71739402v1 E. WHEREAS, each item of Equipment to be financed by the Equipment Portion of the Bonds, as hereinafter defined, has an expected useful life at least as long as the term of the Equipment Portion of the Bonds; and F. WHEREAS, the principal amount of the Equipment Portion of the Bonds does not exceed one-quarter of one percent (0.25%) of the estimated market value of the taxable property in the City ($3,685,960,800 times 0.25% is $ 9,214,902); and G. WHEREAS, the City has retained Ehlers and Associates, Inc., in Roseville, Minnesota ('Ehlers"), as its independent municipal advisor for the sale of the Bonds and was therefore authorized to sell the Bonds by private negotiation in accordance with Minnesota Statutes, Section 475.60, Subdivision 2(9) and proposals to purchase the Bonds have been solicited by Ehlers; and H. WHEREAS, the proposals set forth on Exhibit A attached hereto were received by the City Administrator, or designee, at the offices of Ehlers at 10:00 A.M. this same day pursuant to the Preliminary Official Statement for the Bonds, dated November 24, 2021; and I. WHEREAS, it is in the best interests of the City that the Bonds be issued in book - entry form as hereinafter provided; and NOW, THEREFORE, BE IT RESOLVED by the Council of the City of Andover, Minnesota, as follows: 1. Acceptance of Proposal. The proposal of (the "Purchaser"), to purchase the Bonds in accordance with the Preliminary Official Statement, at the rates of interest hereinafter set forth, and to pay therefor the sum of $ , plus interest accrued to settlement, is hereby found, determined and declared to be the most favorable proposal received and is hereby accepted and the Bonds are hereby awarded to the Purchaser. The Finance Manager is directed to retain the deposit of the Purchaser. 2. Bond Terms. (a) Original Issue Date; Denominations; Maturities, Term Bond Option. The Bonds shall be dated December 28, 2021, as the date of original issue and shall be issued forthwith on or after such date in fully registered form, shall be numbered from R-1 upward in the denomination of $5,000 each or in any integral multiple thereof of a single maturity (the "Authorized Denominations") and shall mature on February 1 in the years and amounts as follows: Year Amount Year Amount 2023 2027 2024 2028 2025 2029 2026 2030 71739402v1 As may be requested by the Purchaser, one or more tern Bonds may be issued having mandatory sinking fund redemption and final maturity amounts conforming to the foregoing principal repayment schedule, and corresponding additions may be made to the provisions of the applicable Bond(s). (b) Allocation. The Street Reconstruction Portion of the Bonds, being the aggregate principal amount of $ maturing in each of the years and amounts hereinafter set forth are issued to finance the Street Reconstruction Projects. The Equipment Portion of the Bonds, being the aggregate principal amount of $ maturing in each of the years and amounts hereinafter set forth, is issued to finance the Equipment. Street Reconstruction Equipment Year Portion Portion Total 2023 2024 2025 2026 2027 2028 2029 2030 If Bonds are prepaid, the prepayments shall be allocated to the portions of debt service (and hence allocated to the payment of Bonds treated as relating to a particular portion of debt service) as provided in this paragraph. If the source of prepayment moneys is the general fund of the City, or other generally available source, including the levy of taxes, the prepayment may be allocated to any portions of debt service in such amounts as the City shall determine. (c) Book Entry Only System. The Depository Trust Company, a limited purpose trust company organized under the laws of the State of New York or any of its successors or its successors to its functions hereunder (the "Depository") will act as securities depository for the Bonds, and to this end: (i) The Bonds shall be initially issued and, so long as they remain in book entry form only (the 'Book Entry Only Period"), shall at all times be in the form of a separate single fully registered Bond for each maturity of the Bonds; and for purposes of complying with this requirement under paragraphs 5 and 10 Authorized Denominations for any Bond shall be deemed to be limited during the Book Entry Only Period to the outstanding principal amount of that Bond. (ii) Upon initial issuance, ownership of the Bonds shall be registered in a bond register maintained by the Bond Registrar (as hereinafter defined) in the name of CEDE & CO., as the nominee (it or any nominee of the existing or a successor Depository, the "Nominee"). 71739402x1 (iii) With respect to the Bonds neither the City nor the Bond Registrar shall have any responsibility or obligation to any broker, dealer, bank, or any other financial institution for which the Depository holds Bonds as securities depository (the "Participant") or the person for which a Participant holds an interest in the Bonds shown on the books and records of the Participant (the "Beneficial Owner"). Without limiting the immediately preceding sentence, neither the City, nor the Bond Registrar, shall have any such responsibility or obligation with respect to (A) the accuracy of the records of the Depository, the Nominee or any Participant with respect to any ownership interest in the Bonds, or (B) the delivery to any Participant, any Owner or any other person, other than the Depository, of any notice with respect to the Bonds, including any notice of redemption, or (C) the payment to any Participant, any Beneficial Owner or any other person, other than the Depository, of any amount with respect to the principal of or premium, if any, or interest on the Bonds, or (D) the consent given or other action taken by the Depository as the Registered Holder of any Bonds (the "Holder"). For purposes of securing the vote or consent of any Holder under this Resolution, the City may, however, rely upon an omnibus proxy under which the Depository assigns its consenting or voting rights to certain Participants to whose accounts the Bonds are credited on the record date identified in a listing attached to the omnibus proxy. (iv) The City and the Bond Registrar may treat as and deem the Depository to be the absolute owner of the Bonds for the purpose of payment of the principal of and premium, if any, and interest on the Bonds, for the purpose of giving notices of redemption and other matters with respect to the Bonds, for the purpose of obtaining any consent or other action to be taken by Holders for the purpose of registering transfers with respect to such Bonds, and for all purpose whatsoever. The Bond Registrar, as paying agent hereunder, shall pay all principal of and premium, if any, and interest on the Bonds only to the Holder or the Holders of the Bonds as shown on the bond register, and all such payments shall be valid and effective to fully satisfy and discharge the City's obligations with respect to the principal of and premium, if any, and interest on the Bonds to the extent of the sum or sums so paid. (v) Upon delivery by the Depository to the Bond Registrar of written notice to the effect that the Depository has determined to substitute a new Nominee in place of the existing Nominee, and subject to the transfer provisions in paragraph 10 hereof, references to the Nominee hereunder shall refer to such new Nominee. (vi) So long as any Bond is registered in the name of a Nominee, all payments with respect to the principal of and premium, if any, and interest on such Bond and all notices with respect to such Bond shall be made and given, respectively, by the Bond Registrar or City, as the case may be, to the Depository as provided in the Letter of Representations to the Depository required by the Depository as a condition to its acting as book -entry Depository for the Bonds (said Letter of Representations, together with any replacement thereof or amendment or substitute thereto, including any standard procedures or policies referenced therein or applicable thereto respecting the procedures and other matters relating to the Depository's role as book -entry Depository for the Bonds, collectively hereinafter referred to as the "Letter of Representations"). 0 71739402v1 (vii) All transfers of beneficial ownership interests in each Bond issued in book -entry form shall be limited in principal amount to Authorized Denominations and shall be effected by procedures by the Depository with the Participants for recording and transferring the ownership of beneficial interests in such Bonds. (viii) In connection with any notice or other communication to be provided to the Holders pursuant to this Resolution by the City or Bond Registrar with respect to any consent or other action to be taken by Holders, the Depository shall consider the date of receipt of notice requesting such consent or other action as the record date for such consent or other action; provided, that the City or the Bond Registrar may establish a special record date for such consent or other action. The City or the Bond Registrar shall, to the extent possible, give the Depository notice of such special record date not less than fifteen calendar days in advance of such special record date to the extent possible. (ix) Any successor Bond Registrar in its written acceptance of its duties under this Resolution and any paying agencylbond registrar agreement, shall agree to take any actions necessary from time to time to comply with the requirements of the Letter of Representations. (d) Termination of Book -Entry Only System. Discontinuance of a particular Depository's services and termination of the book -entry only system may be effected as follows: (i) The Depository may determine to discontinue providing its services with respect to the Bonds at any time by giving written notice to the City and discharging its responsibilities with respect thereto under applicable law. The City may terminate the services of the Depository with respect to the Bond if it determines that the Depository is no longer able to carry out its functions as securities depository or the continuation of the system of book -entry transfers through the Depository is not in the best interests of the City or the Beneficial Owners. (ii) Upon termination of the services of the Depository as provided in the preceding paragraph, and if no substitute securities depository is willing to undertake the functions of the Depository hereunder can be found which, in the opinion of the City, is willing and able to assume such functions upon reasonable or customary terms, or if the City determines that it is in the best interests of the City or the Beneficial Owners of the Bond that the Beneficial Owners be able to obtain certificates for the Bonds, the Bonds shall no longer be registered as being registered in the bond register in the name of the Nominee, but may be registered in whatever name or names the Holder of the Bonds shall designate at that time, in accordance with paragraph 10. To the extent that the Beneficial Owners are designated as the transferee by the Holders, in accordance with paragraph 10, the Bonds will be delivered to the Beneficial Owners. (iii) Nothing in this subparagraph (d) shall limit or restrict the provisions of paragraph 10. (e) Letter of Representations. The provisions in the Letter of Representations are incorporated herein by reference and made a part of the resolution, and if and to the extent any 71739402v1 such provisions are inconsistent with the other provisions of this resolution, the provisions in the Letter of Representations shall control. 3. Purposes. The Street Reconstruction Portion of the Bonds shall provide funds to finance the Street Reconstruction Projects. The Equipment Portion of the Bonds shall provide funds to finance acquisition of the Equipment. The Street Reconstruction Projects and the Equipment are herein referred to together as the Project. The total cost of the Project, which shall include all costs enumerated in Minnesota Statutes, Section 475.65, is estimated to be at least equal to the amount of the Bonds. The City covenants that it shall do all things and perform all acts required of it to assure that work on the Project proceeds with due diligence to completion and that any and all permits and studies required under law for the Project are obtained. 4. Interest. The Bonds shall bear interest payable semiannually on February 1 and August 1 of each year (each, an "Interest Payment Date"), commencing August 1, 2022, calculated on the basis of a 360 -day year of twelve 30 -day months, at the respective rates per annum set forth opposite the maturity years as follows: Maturity Year Interest Rate 2023 2024 2025 2026 Maturity Year Interest Rate 2027 2028 2029 2030 5. Redemption. All Bonds maturing on February 1, 2028 and thereafter, shall be subject to redemption and prepayment at the option of the City on February 1, 2027, and on any date thereafter at a price of par plus accrued interest. Redemption may be in whole or in part of the Bonds subject to prepayment. If redemption is in part, the maturities and the principal amounts within each maturity to be redeemed shall be determined by the City; and if only part of the Bonds having a common maturity date are called for prepayment, the specific Bonds to be prepaid shall be chosen by lot by the Bond Registrar. Bonds or portions thereof called for redemption shall be due and payable on the redemption date, and interest thereon shall cease to accrue from and after the redemption date. Mailed notice of redemption shall be given to the paying agent and to each affected registered holder of the Bonds thirty (30) days prior to the date fixed for redemption. To effect a partial redemption of Bonds having a common maturity date, the Bond Registrar prior to giving notice of redemption shall assign to each Bond having a common maturity date a distinctive number for each $5,000 of the principal amount of such Bond. The Bond Registrar shall then select by lot, using such method of selection as it shall deem proper in its discretion, from the numbers so assigned to such Bonds, as many numbers as, at $5,000 for each number, shall equal the principal amount of such Bonds to be redeemed. The Bonds to be redeemed shall be the Bonds to which were assigned numbers so selected; provided, however, that only so much of the principal amount of each such Bond of a denomination of more than $5,000 shall be redeemed as shall equal $5,000 for each number assigned to it and so selected. If a Bond is to be redeemed only in part, it shall be surrendered to the Bond Registrar (with, if the 71739402v1 City or Bond Registrar so requires, a written instrument of transfer in form satisfactory to the City and Bond Registrar duly executed by the Holder thereof or the Holder's attorney duly authorized in writing) and the City shall execute (if necessary) and the Bond Registrar shall authenticate and deliver to the Holder of the Bond, without service charge, a new Bond or Bonds having the same stated maturity and interest rate and of any Authorized Denomination or Denominations, as requested by the Holder, in aggregate principal amount equal to and in exchange for the unredeemed portion of the principal of the Bond so surrendered. 6. Bond Registrar. U.S. Bank National Association, in St. Paul, Minnesota, is appointed to act as bond registrar and transfer agent with respect to the Bonds (the "Bond Registrar"), and shall do so unless and until a successor Bond Registrar is duly appointed, all pursuant to any contract the City and Bond Registrar shall execute which is consistent herewith. The Bond Registrar shall also serve as paying agent unless and until a successor -paying agent is duly appointed. Principal and interest on the Bonds shall be paid to the registered holders (or record holders) of the Bonds in the manner set forth in the form of Bond and paragraph 12. 7. Form of Bond. The Bonds, together with the Bond Registrar's Certificate of Authentication, the form of Assignment and the registration information thereon, shall be in substantially the following form: R UNITED STATES OF AMERICA STATE OF MINNESOTA ANOKA COUNTY CITY OF ANDOVER GENERAL OBLIGATION STREET RECONSTRUCTION AND EQUIPMENT BOND, SERIES 2021A Interest Rate Maturity Date Date of Original Issue CUSIP % February 1, December 28, 2021 REGISTERED OWNER: CEDE & CO. PRINCIPAL AMOUNT: The City of Andover, Anoka County, Minnesota (the "Issuer"), certifies that it is indebted and for value received promises to pay to the registered owner specified above, or registered assigns, unless called for earlier redemption, in the manner hereinafter set forth, the principal amount specified above, on the maturity date specified above, and to pay interest thereon semiannually on February 1 and August 1 of each year (each, an "Interest Payment Date"), commencing August 1, 2022, at the rate per annum specified above (calculated on the basis of a 360 -day year of twelve 30 -day months) until the principal sum is paid or has been provided for. This Bond will bear interest from the most recent Interest Payment Date to which interest has been paid or, if no interest has been paid, from the date of original issue hereof. The principal of and premium, if any, on this Bond are payable upon presentation and surrender hereof at the 7 71739402vl principal office of U.S. Bank National Association, in St. Paul, Minnesota (the 'Bond Registrar"), acting as paying agent, or any successor paying agent duly appointed by the Issuer. Interest on this Bond will be paid on each Interest Payment Date by check or draft mailed to the person in whose name this Bond is registered (the "Holder" or 'Bondholder") on the registration books of the Issuer maintained by the Bond Registrar and at the address appearing thereon at the close of business on the fifteenth day of the calendar month next preceding such Interest Payment Date (the "Regular Record Date"). Any interest not so timely paid shall cease to be payable to the person who is the Holder hereof as of the Regular Record Date, and shall be payable to the person who is the Holder hereof at the close of business on a date (the "Special Record Date") fixed by the Bond Registrar whenever money becomes available for payment of the defaulted interest. Notice of the Special Record Date shall be given to Bondholders not less than ten days prior to the Special Record Date. The principal of and premium, if any, and interest on this Bond are payable in lawful money of the United States of America. So long as this Bond is registered in the name of the Depository or its Nominee as provided in the Resolution hereinafter described, and as those terms are defined therein, payment of principal of, premium, if any, and interest on this Bond and notice with respect thereto shall be made as provided in the Letter of Representations, as defined in the Resolution, and surrender of this Bond shall not be required for payment of the redemption price upon a partial redemption of this Bond. Until termination of the book -entry only system pursuant to the Resolution, Bonds may only be registered in the name of the Depository or its Nominee. Optional Redemption. All Bonds of this issue (the 'Bonds") maturing on February 1, 2028, and thereafter, are subject to redemption and prepayment at the option of the Issuer on February 1, 2027, and on any date thereafter at a price of par plus accrued interest. Redemption may be in whole or in part of the Bonds subject to prepayment. If redemption is in part, the maturities and the principal amounts within each maturity to be redeemed shall be determined by the Issuer; and if only part of the Bonds having a common maturity date are called for prepayment, the specific Bonds to be prepaid shall be chosen by lot by the Bond Registrar. Bonds or portions thereof called for redemption shall be due and payable on the redemption date, and interest thereon shall cease to accrue from and after the redemption date. Mailed notice of redemption shall be given to the paying agent and to each affected registered holder of the Bonds thirty (30) days prior to the date fixed for redemption. Prior to the date on which any Bond or Bonds are directed by the Issuer to be redeemed in advance of maturity, the Issuer will cause notice of the call thereof for redemption identifying the Bonds to be redeemed to be mailed to the Bond Registrar and all Bondholders, at the addresses shown on the Bond Register. All Bonds so called for redemption will cease to bear interest on the specified redemption date, provided funds for their redemption have been duly deposited. Selection of Bonds for Redemption; Partial Redemption. To effect a partial redemption of Bonds having a common maturity date, the Bond Registrar shall assign to each Bond having a common maturity date a distinctive number for each $5,000 of the principal amount of such Bond. The Bond Registrar shall then select by lot, using such method of selection as it shall deem proper in its discretion, from the numbers assigned to the Bonds, as many numbers as, at $5,000 for each number, shall equal the principal amount of such Bonds to be redeemed. The Bonds to be redeemed shall be the Bonds to which were assigned numbers so selected; provided, 71739402vl however, that only so much of the principal amount of such Bond of a denomination of more than $5,000 shall be redeemed as shall equal $5,000 for each number assigned to it and so selected. If a Bond is to be redeemed only in part, it shall be surrendered to the Bond Registrar (with, if the Issuer or Bond Registrar so requires, a written instrument of transfer in form satisfactory to the Issuer and Bond Registrar duly executed by the Holder thereof or the Holder's attorney duly authorized in writing) and the Issuer shall execute (if necessary) and the Bond Registrar shall authenticate and deliver to the Holder of the Bond, without service charge, a new Bond or Bonds having the same stated maturity and interest rate and of any Authorized Denomination or Denominations, as requested by the Holder, in aggregate principal amount equal to and in exchange for the unredeemed portion of the principal of the Bond so surrendered. Issuance; Purpose; General Obligation. This Bond is one of an issue in the total principal amount of $7,960,000, all of like date of original issue and tenor, except as to number, maturity, interest rate, denomination and redemption privilege, issued pursuant to and in full conformity with the Constitution and laws of the State of Minnesota and pursuant to a resolution adopted by the City Council on December 7, 2021 (the "Resolution"), for the purpose of providing money to finance various street reconstruction projects within the jurisdiction of the Issuer and the acquisition of capital equipment. This Bond is payable out of the General Obligation Street Reconstruction and Equipment Bonds, Series 2021A Fund of the Issuer. This Bond constitutes a general obligation of the Issuer, and to provide moneys for the prompt and full payment of its principal, premium, if any, and interest when the same become due, the full faith and credit and taxing powers of the Issuer have been and are hereby irrevocably pledged. Denominations; Exchange; Resolution. The Bonds are issuable solely in fully registered form in Authorized Denominations (as defined in the Resolution) and are exchangeable for fully registered Bonds of other Authorized Denominations in equal aggregate principal amounts at the office of the Bond Registrar, but only in the manner and subject to the limitations provided in the Resolution. Reference is hereby made to the Resolution for a description of the rights and duties of the Bond Registrar. Copies of the Resolution are on file in the office of the Bond Registrar. Transfer. This Bond is transferable by the Holder in person or the Holder's attorney duly authorized in writing at the office of the Bond Registrar upon presentation and surrender hereof to the Bond Registrar, all subject to the terms and conditions provided in the Resolution and to reasonable regulations of the Issuer contained in any agreement with the Bond Registrar. Thereupon the Issuer shall execute and the Bond Registrar shall authenticate and deliver, in exchange for this Bond, one or more new fully registered Bonds in the name of the transferee (but not registered in blank or to "bearer" or similar designation), of an Authorized Denomination or Denominations, in aggregate principal amount equal to the principal amount of this Bond, of the same maturity and bearing interest at the same rate. Fees upon Transfer or Loss. The Bond Registrar may require payment of a sum sufficient to cover any tax or other governmental charge payable in connection with the transfer or exchange of this Bond and any legal or unusual costs regarding transfers and lost Bonds. Treatment of Registered Owners. The Issuer and Bond Registrar may treat the person in whose name this Bond is registered as the owner hereof for the purpose of receiving payment as herein provided (except as otherwise provided herein with respect to the Record Date) and for all 71739402v1 other purposes, whether or not this Bond shall be overdue, and neither the Issuer nor the Bond Registrar shall be affected by notice to the contrary. Authentication. This Bond shall not be valid or become obligatory for any purpose or be entitled to any security unless the Certificate of Authentication hereon shall have been executed by the Bond Registrar. Qualified Tax -Exempt Obligation. This Bond has been designated by the Issuer as a "qualified tax-exempt obligation" for purposes of Section 265(b)(3) of the Internal Revenue Code of 1986, as amended. IT IS HEREBY CERTIFIED AND RECITED that all acts, conditions and things required by the Constitution and laws of the State of Minnesota to be done, to happen and to be performed, precedent to and in the issuance of this Bond, have been done, have happened and have been performed, in regular and due form, time and manner as required by law; and that this Bond, together with all other debts of the Issuer outstanding on the date of original issue hereof and the date of its issuance and delivery to the original purchaser, does not exceed any constitutional or statutory limitation of indebtedness. IN WITNESS WHEREOF, the City of Andover, Anoka County, Minnesota, by its City Council has caused this Bond to be executed on its behalf by the facsimile signatures of its Mayor and its City Administrator, the corporate seal of the Issuer having been intentionally omitted as permitted by law. Date of Registration: Registrable by: U.S. BANK NATIONAL ASSOCIATION Payable at: U.S. BANK NATIONAL BOND REGISTRAR'S ASSOCIATION CERTIFICATE OF AUTHENTICATION CITY OF ANDOVER, ANOKA COUNTY, MINNESOTA This Bond is one of the Bonds described in the Resolution mentioned within. /s/ Facsimile Mayor U.S. BANK NATIONAL ASSOCIATION St. Paul, Minnesota, Bond Registrar /s/ Facsimile City Administrator By: Authorized Signature 10 71739402x1 ABBREVIATIONS The following abbreviations, when used in the inscription on the face of this Bond, shall be construed as though they were written out in full according to applicable laws or regulations: TEN COM - as tenants in common TEN ENT - as tenants by the entireties JT TEN - as joint tenants with right of survivorship and not as tenants in common UTMA - as custodian for (Gust) under the (State) Transfers to Minors Act (Minor) Uniform Additional abbreviations may also be used though not in the above list. ASSIGNMENT For value received, the undersigned hereby sells, assigns and transfers unto and does hereby irrevocably constitute and appoint Bond on the books kept for the registration thereof, premises. Signature Guaranteed: the within Bond attorney to transfer the with full power of substitution in the Notice: The assignor's signature to this assignment must correspond with the name as it appears upon the face of the within Bond in every particular, without alteration or any change whatever. Signature(s) must be guaranteed by a national bank or trust company or by a brokerage firm having a membership in one of the major stock exchanges or any other "Eligible Guarantor Institution" as defined in 17 CFR 240.17 Ad -15(a)(2). The Bond Registrar will not affect transfer of this Bond unless the information concerning the transferee requested below is provided. Name and Address: (Include information for all joint owners if the Bond is held by joint account.) 11 71739402vl 8. Execution. The Bonds shall be in typewritten form, shall be executed on behalf of the City by the signatures of its Mayor and City Administrator and be sealed with the seal of the City; provided, as permitted by law, both signatures may be photocopied facsimiles and the corporate seal has been omitted. In the event of disability or resignation or other absence of either officer, the Bonds may be signed by the manual or facsimile signature of the officer who may act on behalf of the absent or disabled officer. In case either officer whose signature or facsimile of whose signature shall appear on the Bonds shall cease to be such officer before the delivery of the Bonds, the signature or facsimile shall nevertheless be valid and sufficient for all purposes, the same as if the officer had remained in office until delivery. 9. Authentication. No Bond shall be valid or obligatory for any purpose or be entitled to any security or benefit under this resolution unless a Certificate of Authentication on such Bond, substantially in the form hereinabove set forth, shall have been duly executed by an authorized representative of the Bond Registrar. Certificates of Authentication on different Bonds need not be signed by the same person. The Bond Registrar shall authenticate the signatures of officers of the City on each Bond by execution of the Certificate of Authentication on the Bond and by inserting as the date of registration in the space provided the date on which the Bond is authenticated, except that for purposes of delivering the original Bonds to the Purchaser, the Bond Registrar shall insert as a date of registration the date of original issue of December 28, 2021. The Certificate of Authentication so executed on each Bond shall be conclusive evidence that it has been authenticated and delivered under this resolution. 10. Registration; Transfer; Exchange. The City will cause to be kept at the principal office of the Bond Registrar a bond register in which, subject to such reasonable regulations as the Bond Registrar may prescribe, the Bond Registrar shall provide for the registration of Bonds and the registration of transfers of Bonds entitled to be registered or transferred as herein provided. Upon surrender for transfer of any Bond at the principal office of the Bond Registrar, the City shall execute (if necessary), and the Bond Registrar shall authenticate, insert the date of registration (as provided in paragraph 9) of, and deliver, in the name of the designated transferee or transferees, one or more new Bonds of any Authorized Denomination or Denominations of a like aggregate principal amount, having the same stated maturity and interest rate, as requested by the transferor; provided, however, that no Bond may be registered in blank or in the name of "bearer" or similar designation. At the option of the Holder, Bonds may be exchanged for Bonds of any Authorized Denomination or Denominations of a like aggregate principal amount and stated maturity, upon surrender of the Bonds to be exchanged at the principal office of the Bond Registrar. Whenever any Bonds are so surrendered for exchange, the City shall execute (if necessary), and the Bond Registrar shall authenticate, insert the date of registration of, and deliver the Bonds which the Holder making the exchange is entitled to receive. All Bonds surrendered upon any exchange or transfer provided for in this resolution shall be promptly canceled by the Bond Registrar and thereafter disposed of as directed by the City. 12 71739402vl All Bonds delivered in exchange for or upon transfer of Bonds shall be valid general obligations of the City evidencing the same debt, and entitled to the same benefits under this resolution, as the Bonds surrendered for such exchange or transfer. Every Bond presented or surrendered for transfer or exchange shall be duly endorsed or be accompanied by a written instrument of transfer, in form satisfactory to the Bond Registrar, duly executed by the Holder thereof or his, her or its attorney duly authorized in writing. The Bond Registrar may require payment of a sum sufficient to cover any tax or other governmental charge payable in connection with the transfer or exchange of any Bond and any legal or unusual costs regarding transfers and lost Bonds. Transfers shall also be subject to reasonable regulations of the City contained in any agreement with the Bond Registrar, including regulations which permit the Bond Registrar to close its transfer books between record dates and payment dates. The Finance Manager is hereby authorized to negotiate and execute the terms of said agreement. 11. Rights Upon Transfer or Exchange. Each Bond delivered upon transfer of or in exchange for or in lieu of any other Bond shall carry all the rights to interest accrued and unpaid, and to accrue, which were carried by such other Bond. 12. Interest Payment; Record Date. Interest on any Bond shall be paid on each Interest Payment Date by check or draft mailed to the person in whose name the Bond is registered (the "Holder") on the registration books of the City maintained by the Bond Registrar and at the address appearing thereon at the close of business on the fifteenth day of the calendar month next preceding such Interest Payment Date (the "Regular Record Date"). Any such interest not so timely paid shall cease to be payable to the person who is the Holder thereof as of the Regular Record Date, and shall be payable to the person who is the Holder thereof at the close of business on a date (the "Special Record Date") fixed by the Bond Registrar whenever money becomes available for payment of the defaulted interest. Notice of the Special Record Date shall be given by the Bond Registrar to the Holders not less than ten days prior to the Special Record Date. 13. Treatment of Registered Owner. The City and Bond Registrar may treat the person in whose name any Bond is registered as the owner of such Bond for the purpose of receiving payment of principal of and premium, if any, and interest (subject to the payment provisions in paragraph 12) on, such Bond and for all other purposes whatsoever whether or not such Bond shall be overdue, and neither the City nor the Bond Registrar shall be affected by notice to the contrary. 14. Delivery; Application of Proceeds. The Bonds when so prepared and executed shall be delivered by the Finance Manager to the Purchaser upon receipt of the purchase price, and the Purchaser shall not be obliged to see to the proper application thereof. 15. Fund and Accounts. There is hereby established a special fund to be designated "General Obligation Street Reconstruction and Equipment Bonds, Series 2021A Fund" (the "Fund") to be administered and maintained by the Finance Manager as a bookkeeping account separate and apart from all other funds maintained in the official financial records of the City. 13 717394020 The Fund shall be maintained in the manner herein specified until all of the Bonds and the interest thereon have been fully paid. There shall be maintained in the Fund two (2) separate accounts to be designated the "Capital Account" and the "Debt Service Account." (a) Capital Account. To the Capital Account there shall be credited the proceeds of the sale of the Bonds. From the Capital Account there shall be paid all costs and expenses of making the Street Reconstruction Projects and acquiring the Equipment, including the cost of any construction or other contracts heretofore let and all other costs incurred and to be incurred of the kind authorized in Minnesota Statutes, Section 475.65. Moneys in the Capital Account shall be used for no other purpose except as otherwise provided by law; provided that the proceeds of the Bonds may also be used to the extent necessary to pay interest on the Bonds due prior to the anticipated date of commencement of the collection of taxes herein levied or covenanted to be levied; and provided further that if upon completion and acquisition of the Project there shall remain any unexpended balance in the Capital Account and any balance shall be transferred to the Debt Service Account. (b) Debt Service Account. There shall be maintained separate subaccounts in the Debt Service Account to be designated the "Street Reconstruction Projects Debt Service Subaccount" and the "Equipment Debt Service Subaccount." There are hereby irrevocably appropriated and pledged to, and there shall be credited to the separate subaccounts of the Debt Service Account: (i) Street Reconstruction Projects Debt Service Subaccount. To the Street Reconstruction Projects Debt Service Subaccount there shall be credited: (A) any collections of all taxes herein or hereinafter levied for the payment of the Street Reconstruction Portion of the Bonds and interest thereon; (B) available City funds in the amount of $ to provide sufficient funds to pay interest due on the Street Reconstruction Portion of the Bonds on or before August 1, 2022; (C) a pro rata share of all funds remaining in the Capital Account after completion of the Street Reconstruction Projects and payment of the costs thereof, (D) all investment earnings on funds held in the Street Reconstruction Projects Debt Service Subaccount; and (E) any and all other moneys which are properly available and are appropriated by the governing body of the City to the Street Reconstruction Projects Debt Service Subaccount. The Street Reconstruction Projects Debt Service Subaccount shall be used solely to pay the principal and interest and any premium for redemption of the Street Reconstruction Portion of the Bonds. (ii) Equipment Debt Service Subaccount. To the Equipment Debt Service Subaccount there shall be credited: (A) all collections of taxes herein or hereinafter levied for the payment of the Equipment Portion of the Bonds and interest thereon; (B) available City funds in the amount of $ to provide sufficient funds to pay interest due on the Equipment Portion of the Bonds on or before August 1, 2022; (C) a pro rata share of all funds remaining in the Capital Account after completion of the Project and payment of the costs thereof, (D) all investment earnings on funds held in the Equipment Debt Service Subaccount; and (E) any and all other moneys which are properly available and are appropriated by the governing body of the City to the Equipment Debt Service Subaccount. The Equipment Debt Service Subaccount shall be 14 71739402v1 used solely to pay the principal and interest and any premium for redemption of the Equipment Portion of the Bonds. No portion of the proceeds of the Bonds shall be used directly or indirectly to acquire higher yielding investments or to replace funds which were used directly or indirectly to acquire higher yielding investments, except (1) for a reasonable temporary period until such proceeds are needed for the purpose for which the Bonds were issued and (2) in addition to the above in an amount not greater than the lesser of five percent of the proceeds of the Bonds or $100,000. To this effect, any proceeds of the Bonds and any sums from time to time held in the Capital Account or Debt Service Account (or any other City account which will be used to pay principal or interest to become due on the bonds payable therefrom) in excess of amounts which under then applicable federal arbitrage regulations may be invested without regard to yield shall not be invested at a yield in excess of the applicable yield restrictions imposed by said arbitrage regulations on such investments after taking into account any applicable "temporary periods" or "minor portion" made available under the federal arbitrage regulations. Money in the Fund shall not be invested in obligations or deposits issued by, guaranteed by or insured by the United States or any agency or instrumentality thereof if and to the extent that such investment would cause the Bonds to be "federally guaranteed" within the meaning of Section 149(b) of the Internal Revenue Code of 1986, as amended (the "Code"). 16. Covenants Relating to the Street Reconstruction Portion of the Bonds. (a) Tax Levy. To provide moneys for payment of the principal and interest on the Street Reconstruction Portion of the Bonds there is hereby levied upon all of the taxable property in the City a direct annual ad valorem tax which shall be spread upon the tax rolls and collected with and as part of other general property taxes in the City for the years and in the amounts as follows: Levy Years Collection Years Amount See attached schedule in Exhibit B (b) Coverage Test. The tax levies are such that if collected in full they, together with other revenues herein pledged for the payment of the Street Reconstruction Portion of the Bonds, will produce at least five percent in excess of the amount needed to meet when due the principal and interest payments on the Street Reconstruction Portion of the Bonds. The tax levies shall be irrepealable so long as any of the Bonds are outstanding and unpaid, provided that the City reserves the right and power to reduce the levies in the manner and to the extent permitted by Minnesota Statutes, Section 475.61, Subdivision 3. 17. Covenants Relating to the Equipment Portion of the Bonds; Tax Levy. To provide moneys for payment of the principal and interest on the Equipment Portion of the Bonds there is hereby levied upon all of the taxable property in the City a direct annual ad valorem tax which shall be spread upon the tax rolls and collected with and as part of other general property taxes in the City for the years and in the amounts as follows: Levy Years Collection Years Amount 15 71739402v1 See attached schedule in Exhibit B The tax levies are such that if collected in full they, together with other revenues herein pledged for the payment of the Equipment Portion of the Bonds, will produce at least five percent in excess of the amount needed to meet when due the principal and interest payments on the Equipment Portion of the Bonds. The tax levies shall be irrepealable so long as any of the Equipment Portion of the Bonds are outstanding and unpaid, provided that the City reserves the right and power to reduce the levies in the manner and to the extent permitted by Minnesota Statutes, Section 475.61, Subdivision 3. 18. Continuing Disclosure. The City is the sole obligated person with respect to the Bonds. The City hereby agrees, in accordance with the provisions of Rule 15c2-12 (the "Rule"), promulgated by the Securities and Exchange Commission (the "Commission") pursuant to the Securities Exchange Act of 1934, as amended, and a Continuing Disclosure Undertaking (the "Undertaking") hereinafter described to: (a) Provide or cause to be provided to the Municipal Securities Rulemaking Board (the "MSRB") by filing at www.emtna.msrb.org in accordance with the Rule, certain annual financial information and operating data in accordance with the Undertaking. The City reserves the right to modify from time to time the terms of the Undertaking as provided therein. (b) Provide or cause to be provided to the MSRB notice of the occurrence of certain events with respect to the Bonds in not more than ten (10) business days after the occurrence of the event, in accordance with the Undertaking. (c) Provide or cause to be provided to the MSRB notice of a failure by the City to provide the annual financial information with respect to the City described in the Undertaking, in not more than ten (10) business days following such occurrence. (d) The City agrees that its covenants pursuant to the Rule set forth in this paragraph and in the Undertaking is intended to be for the benefit of the Holders of the Bonds and shall be enforceable on behalf of such Holders; provided that the right to enforce the provisions of these covenants shall be limited to a right to obtain specific enforcement of the City's obligations under the covenants. The Mayor and City Administrator of the City, or any other officer of the City authorized to act in their place (the "Officers") are hereby authorized and directed to execute on behalf of the City the Undertaking in substantially the form presented to the City Council subject to such modifications thereof or additions thereto as are (i) consistent with the requirements under the Rule, (ii) required by the Purchaser of the Bonds, and (iii) acceptable to the Officers. 19. Defeasance. When all Bonds have been discharged as provided in this paragraph, all pledges, covenants and other rights granted by this resolution to the registered holders of the Bonds shall, to the extent permitted by law, cease. The City may discharge its obligations with respect to any Bonds which are due on any date by irrevocably depositing with the Bond Registrar on or before that date a sum sufficient for the payment thereof in full; or if any Bond should not be paid when due, it may nevertheless be discharged by depositing with the Bond 71739402v1 Registrar a sum sufficient for the payment thereof in full with interest accrued to the date of such deposit. The City may also discharge its obligations with respect to any prepayable Bonds called for redemption on any date when they are prepayable according to their terms, by depositing with the Bond Registrar on or before that date a sum sufficient for the payment thereof in full, provided that notice of redemption thereof has been duly given. The City may also at any time discharge its obligations with respect to any Bonds, subject to the provisions of law now or hereafter authorizing and regulating such action, by depositing irrevocably in escrow, with a suitable banking institution qualified by law as an escrow agent for this purpose, cash or securities described in Minnesota Statutes, Section 475.67, Subdivision 8, bearing interest payable at such times and at such rates and maturing on such dates as shall be required, without regard to sale and/or reinvestment, to pay all amounts to become due thereon to maturity or, if notice of redemption as herein required has been duly provided for, to such earlier redemption date. 20. Compliance With Reimbursement Bond Regulations. The provisions of this paragraph are intended to establish and provide for the City's compliance with United States Treasury Regulations Section 1.150-2 (the "Reimbursement Regulations") applicable to the "reimbursement proceeds" of the Bonds, being those portions thereof which will be used by the City to reimburse itself for any expenditure which the City paid or will have paid prior to the Closing Date (a "Reimbursement Expenditure"). The City hereby certifies and/or covenants as follows: (a) Not later than sixty days after the date of payment of a Reimbursement Expenditure, the City (or person designated to do so on behalf of the City) has made or will have made a written declaration of the City's official intent (a "Declaration") which effectively (i) states the City's reasonable expectation to reimburse itself for the payment of the Reimbursement Expenditure out of the proceeds of a subsequent borrowing; (ii) gives a general and functional description of the property, project or program to which the Declaration relates and for which the Reimbursement Expenditure is paid, or identifies a specific fund or account of the City and the general functional purpose thereof from which the Reimbursement Expenditure was to be paid (collectively the "Project"); and (iii) states the maximum principal amount of debt expected to be issued by the City for the purpose of financing the Project; provided, however, that no such Declaration shall necessarily have been made with respect to: (i) "preliminary expenditures" for the Project, defined in the Reimbursement Regulations to include engineering or architectural, surveying and soil testing expenses and similar prefatory costs, which in the aggregate do not exceed twenty percent of the "issue price" of the Bonds, and (ii) a de minimis amount of Reimbursement Expenditures not in excess of the lesser of $100,000 or five percent of the proceeds of the Bonds. (b) Each Reimbursement Expenditure is a capital expenditure or a cost of issuance of the Bonds or any of the other types of expenditures described in Section 1.150-2(d)(3) of the Reimbursement Regulations. (c) The "reimbursement allocation" described in the Reimbursement Regulations for each Reimbursement Expenditure shall and will be made forthwith following (but not prior to) the issuance of the Bonds, and not later than 18 months after the later of (i) the date of the 17 71739402v1 payment of the Reimbursement Expenditure, or (ii) the date on which the Project to which the Reimbursement Expenditure relates is first placed in service, but in no event more than three years after the date of payment of the Reimbursement Expenditure. (d) Each such reimbursement allocation will be made in a writing that evidences the City's use of Bond proceeds to reimburse the Reimbursement Expenditure and, if made within 30 days after the Bonds are issued, shall be treated as made on the day the Bonds are issued. Provided, however, that the City may take action contrary to any of the foregoing covenants in this paragraph upon receipt of an opinion of its Bond Counsel for the Bonds stating in effect that such action will not impair the tax-exempt status of the Bonds. 21. General Obligation Pledge. For the prompt and full payment of the principal and interest on the Bonds, as the same respectively become due, the full faith, credit and taxing powers of the City shall be and are hereby irrevocably pledged. If the balance in the Debt Service Account is ever insufficient to pay all principal and interest then due on the Bonds and any other bonds payable therefrom, the deficiency shall be promptly paid out of any other funds of the City which are available for such purpose, and such other funds may be reimbursed with or without interest from the Debt Service Account when a sufficient balance is available therein. 22. Certificate of Registration. A certified copy of this resolution is hereby directed to be filed with the County Auditor of Anoka County, together with such other information as the Director shall require, and there shall be obtained from the Director a certificate that the Bonds have been entered in the Bond Register and that the tax levy required by law has been made. 23. Records and Certificates. The officers of the City are hereby authorized and directed to prepare and furnish to the Purchaser, and to the attorneys approving the legality of the issuance of the Bonds, certified copies of all proceedings and records of the City relating to the Bonds and to the financial condition and affairs of the City, and such other affidavits, certificates and information as are required to show the facts relating to the legality and marketability of the Bonds as the same appear from the books and records under their custody and control or as otherwise known to them, and all such certified copies, certificates and affidavits, including any heretofore famished, shall be deemed representations of the City as to the facts recited therein. 24. Negative Covenant as to Use of Bond Proceeds and Project. The City hereby covenants not to use the proceeds of the Bonds or to use the Project, or to cause or permit them to be used, or to enter into any deferred payment arrangements for the cost of the Project, in such a manner as to cause the Bonds to be "private activity bonds" within the meaning of Sections 103 and 141 through 150 of the Code. 25. Tax -Exempt Status of the Bonds: Rebate. (a) Allocation to the Street Reconstruction Portion of the Bonds. The City shall comply with requirements necessary under the Code to establish and maintain the exclusion from gross income under Section 103 of the Code of the interest on the Street Reconstruction Portion of the Bonds, including without limitation (i) requirements relating to temporary periods for investments, (ii) limitations on amounts invested at a yield greater than the yield on the Street IN 717394020 Reconstruction Portion of the Bonds, and (iii) the rebate of excess investment earnings to the United States. The City expects to satisfy the 24 -month exemption for gross proceeds of the Street Reconstruction Portion of the Bonds as provided in Section 1.148-7(e) of the Regulations. The Mayor and/or City Administrator and/or Finance Manager are hereby authorized and directed to make such elections as to arbitrage and rebate matters relating to the Street Reconstruction Portion of the Bonds as they deem necessary, appropriate or desirable in connection with the Street Reconstruction Portion of the Bonds, and all such elections shall be, and shall be deemed and treated as, elections of the City. (b) Allocation to the Equipment Portion of the Bonds. The City shall comply with requirements necessary under the Code to establish and maintain the exclusion from gross income under Section 103 of the Code of the interest on the Equipment Portion of the Bonds, including without limitation (a) requirements relating to temporary periods for investments, (b) limitations on amounts invested at a yield greater than the yield on the Equipment Portion of the Bonds, and (c) the rebate of excess investment earnings to the United States. The City expects to satisfy the 18 -month expenditure exemption for gross proceeds of the Equipment Portion of the Bonds as provided in Section 1.148-7(d) of the Regulations. The Mayor and/or City Administrator and/or Finance Manager are hereby authorized and directed to make such elections as to arbitrage and rebate matters relating to the Bonds as they deem necessary, appropriate or desirable in connection with the Bonds, and all such elections shall be, and shall be deemed and treated as, elections of the City. 26. Designation of Qualified Tax -Exempt Obligations. In order to qualify the Bonds as "qualified tax-exempt obligations" within the meaning of Section 265(b)(3) of the Code, the City hereby makes the following factual statements and representations: (a) the Bonds are issued after August 7, 1986; (b) the Bonds are not "private activity bonds" as defined in Section 141 of the Code; (c) the City hereby designates the Bonds as "qualified tax-exempt obligations" for purposes of Section 265(b)(3) of the Code; (d) the reasonably anticipated amount of tax-exempt obligations (other than private activity bonds, treating qualified 501(c)(3) bonds as not being private activity bonds) which will be issued by the City (and all entities treated as one issuer with the City, and all subordinate entities whose obligations are treated as issued by the City) during this calendar year 2021 will not exceed $10,000,000; (e) not more than $10,000,000 of obligations issued by the City during this calendar year 2021 have been designated for purposes of Section 265(b)(3) of the Code; and (f) the aggregate face amount of the Bonds does not exceed $10,000,000. The City shall use its best efforts to comply with any federal procedural requirements which may apply in order to effectuate the designation made by this paragraph. 19 71739402v1 27. Official Statement. The Official Statement relating to the Bonds prepared and distributed by Ehlers is hereby approved and the officers of the City are authorized in connection with the delivery of the Bonds to sign such certificates as may be necessary with respect to the completeness and accuracy of the Official Statement. 28. Payment of Issuance Expenses. The City authorizes the Purchaser to forward the amount of Bond proceeds allocable to the payment of issuance expenses to Wells Fargo Bank, San Francisco, California, on the closing date for further distribution as directed by Ehlers. 29. Severability. If any section, paragraph or provision of this resolution shall be held to be invalid or unenforceable for any reason, the invalidity or unenforceability of such section, paragraph or provision shall not affect any of the remaining provisions of this resolution 30. Headings. Headings in this resolution are included for convenience of reference only and are not a part hereof, and shall not limit or define the meaning of any provision hereof. The motion for the adoption of the foregoing resolution was duly seconded by member and, after a full discussion thereof and upon a vote being taken thereon, the following voted in favor thereof: and the following voted against the same: Whereupon the resolution was declared duly passed and adopted. 20 71739402v1 STATE OF MINNESOTA COUNTY OF ANOKA CITY OF ANDOVER I, the undersigned, being the duly qualified and acting City Administrator of the City of Andover, Minnesota, do hereby certify that I have compared the attached and foregoing extract of minutes with the original thereof on file in my office, and that the same is a full, true and complete transcript of the minutes of a meeting of the City Council, duly called and held on the date therein indicated, insofar as such minutes relate to authorizing the issuance and awarding the sale of $7,960,000 General Obligation Street Reconstruction and Equipment Bonds, Series 2021A. WITNESS my hand on December 7, 2021. 21 71739402v1 City Administrator 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 . (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV TO: Mayor and Council Members CC: Jim Dickinson, City Adminisl FROM: David D. Berkowitz, Director of Pub11lV corks/City Engineer SUBJECT: Hold Public Hearing/Order Plans & Specification/22-2/2022 Street Reconstruction - Engineering DATE: December 7, 2021 INTRODUCTION The City Council is requested to hold a public hearing and order plans and specifications for Projects 22-2, 2022 Street Reconstruction. DISCUSSION Each year the roadway segments in the most need of repair throughout the City are reconstructed with the City of Andover's street reconstruction program. Timber Rivers Estates and Rolling Meadows Estates developments, which are located west of 7a' Avenue, north of 169a' Lane, south of 173`d Avenue and east of the Rum River (see attached map as Exhibit 1) have been identified in the City's 5 - Year Capital Improvement Plan for reconstruction during the 2022 construction season. The project would include reclaiming the existing bituminous roadway, replacing existing bituminous curb and gutter, minor storm sewer/culvert repairs and replacements, and paving of a new bituminous surface. This has been a very effective reconstruction method since the City began the process back in 1996. There are two different proposed estimated assessment rates for this project and they are based on size of parcel. For parcels greater than 2.5 acres the estimated assessment rate per unit is $9,900.00 and for parcel less than 2.5 acres the estimated assessment rate is $5,360.00. There is one parcel that has a potential to subdivide into 3 lots which would be assessed for 3 larger parcels for a total of $29,700.00. Proposed Assessment Map (see attached map as Exhibit 3) shows the lot different lot sizes. A neighborhood informational meeting was held on November 3, 2021 with the affected residents in the neighborhood to discuss the project and answer preliminary questions. Emails and comments that have been received by staff are attached for your information. Attached are the following: * Resolution Ordering the Improvement * Location Map * Proposed Assessment Map (by lot size) * Letter to property owners regarding estimated assessment * Public Hearing Notice * Estimated assessment payment schedule * Sign in Sheet from Neighborhood Meeting * Resident Comment Sheets & Emails Note: The feasibility report was in the November 16, 2021 packet. Mayor and Council Members December 7, 2021 Page 2 of 2 BUDGETIMPACT The project would be funded from a combination of special assessments and City funds. Twenty-five percent of the total project costs would be assessed to the benefiting properties fronting the improvements as identified in the City's Roadway Reconstruction Assessment Policy. The remaining costs would be funded through the City's Road and Bridge Fund. ACTION REQUIRED The City Council is requested to hold a public hearing and order plans and specifications for Project 22-2, 2022 Street Reconstruction. Respectfully submitted, David D. Berkowitz Attachments: Resolution Location Map, roposed Assessment Map, Letter to property owners regarding estimated assessment,'Vublic Hearing Notice;�Vstimated Assessment Payment Schedule,lign in Sheet,`<esident Comments'�c Emails� CITY OF ANDOVER COUNTY OF ANOKA STATE OF MINNESOTA RES. NO. MOTION by Councilmember to adopt the following: A RESOLUTION ORDERING THE IMPROVEMENT OF PROJECT NO. 22-2,2022 STREET RECONSTRUCTION AND DIRECTING PREPARATION OF FINAL PLANS AND SPECIFICATIONS. WHEREAS, Resolution No. 084-21 of the City Council adopted on the 16th day of November , 2021, fixed a date for a public hearing; and WHEREAS, pursuant to the required published and mailed notice such hearing was held on the 7th day of December_, 2021; and WHEREAS, all persons desiring to be heard were given such opportunity for same; and NOW, THEREFORE, BE IT RESOLVED by the City Council of the City of Andover to hereby order improvement Project No. 22-2 . MOTION seconded by Councilmember and adopted by the City Council at a regular meeting this 7th day of December , 2021, with Councilmembers the resolution. and Councilmembers resolution was declared passed. ATTEST: Michelle Hartner — Deputy City Clerk voting in favor of voting against, whereupon said CITY OF ANDOVER Sheri Bukkila - Mayor n,.vthen A ' w Q Y u 2_ � O 1 - � AMUW#, . L! 161ST AVE 0 ' 7 157tH AVE I . m am o � Lake � i I PO Jca a�,e � 1 e�� o BUNKER LAKE BL VD d m Anoka k o Y 0 M MEMO Coon Rap4 nnnhL ti. SSRI, MN GwspmW rM Project Location ® Waterbody ` I T r ° Project Location Map NDOVER �mma1R , I,a°°r ,:a repr�ene o-oe KKapo„�; ire me Ory azwma na lWOPiry for + Park Q City Limits (Exhibit 1) IM Preserve 0 0.5 1 Miles rL 1GI51Worxni IErole[ts1En9�nexm9l(IuickMapslpv¢k61a0.cayrx I_ I II Dale E,Wo W:IOJ12130111023AM LidorerG N � u IJJao ME •� �1 1'267 1]269 YT1]7 5241 yG} B 5259 QQ i 5231 17178 15 5234 1]IS AW 5260 ]7096 r _ 5240 AUX 5163 5 145 5245 � 5215 Sl Jai Sra VC - no59 5).11P r16ID6s G 1'058 0e1 11951 TIMBER IID III IrI b VI RIVER I; uil 1 ESTATES 'Selo 4982 4954 x930 4906 4 4898 0 G � K p@9 .. 17W 4955 90------------29 9907 9863 9661 4Jll9 »a 6974 - - 16980AL 7 IJOmevE 5356 5 37010 496E 9996 4920 4899 9662 46W 9 -- nyewm ariesu 11�3tl Q Projriat • rUOVE emu. movvoo-aww ao Rlat aourAary Proposed Assessment Map 0 250 500 Feel (Exhibit 3) 6�* I _ 27 LOIS >= 2.5 AG res anaov¢r GIS ,vev[,o.r.gyvey.,,re.ery.e., ND. 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV November 17, 2021 Re: Project No. 22-2, 2022 Street Reconstruction Timber River Estates & Rolling Meadows Estates Public Hearing Notice Dear Resident: A feasibility report has been prepared to determine the estimated costs associated with road improvements in your area for the proposed 2022 Street Reconstruction. Improvements would include reclaiming the existing bituminous roadway, replacing existing bituminous curb and gutter with bituminous curb and gutter, minor storm sewer/culvert repairs and replacements, and paving of a new roadway surface with two lifts of bituminous. The roadway width is proposed to stay the same width as currently exists. The project is proposed to be funded through a combination of special assessments and City funds. In accordance with the City's Assessment Manual, twenty-five percent (25%) of the total project costs for the street reconstruction would be assessed to the benefiting properties or specifically those properties fronting along or addressed along the roadway being improved. The remaining seventy-five percent (75%) of the costs associated with the project will be funded through the City's Road and Bridge Fund. Based on the proposed improvements relative to your parcel and as identified in the feasibility report, your estimated assessment is $5,360.00 for street reconstruction. Enclosed is a public hearing notice for the proposed project. If you have any questions, feel free to contact me at (763) 767-5133, or Jason Law, Assistant City Engineer at (763) 767-5130. Sincerely, David D. Berkowitz, P.E. Director of Public Works/City Engineer Encl. cc: Mayor & City Council 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV November 17, 2021 Re: Project No. 22-2, 2022 Street Reconstruction/Timber River Estates & Rolling Meadows Estates Public Hearing Notice Dear Resident: A feasibility report has been prepared to determine the estimated costs associated with road improvements in your area for the proposed 2022 Street Reconstruction. Improvements would include reclaiming the existing bituminous roadway, replacing existing bituminous curb and gutter with bituminous curb and gutter, minor storm sewer/culvert repairs and replacements, and paving of a new roadway surface with two lifts of bituminous. The roadway width is proposed to stay the same width as currently exists. The project is proposed to be funded through a combination of special assessments and City funds. In accordance with the City's Assessment Manual, twenty-five percent (25%) of the total project costs for the street reconstruction would be assessed to the benefiting properties or specifically those properties fronting along or addressed along the roadway being improved. The remaining seventy-five percent (75%) of the costs associated with the project will be funded through the City's Road and Bridge Fund. Based on the proposed improvements relative to your parcel and as identified in the feasibility report, your estimated assessment is $9,990.00 for street reconstruction. Enclosed is a public hearing notice for the proposed project. If you have any questions, feel free to contact me at (763) 767-5133, or Jason Law, Assistant City Engineer at (763) 767-5130. Sincerely, David D. Berkowitz, P.E. Director of Public Works/City Engineer Encl. cc: Mayor & City Council 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV November 17, 2021 12 32 25 12 0002 John & Louise Melberg 4967 — 171st Avenue NW Andover, MN 55304 Re: Project No. 22-2, 2022 Street Reconstruction/Timber River Estates & Rolling Meadows Estates Public Hearing Notice Dear Mr. & Mrs. Melberg A feasibility report has been prepared to determine the estimated costs associated with road improvements in your area for the proposed 2022 Street Reconstruction. Improvements would include reclaiming the existing bituminous roadway, replacing existing bituminous curb and gutter with bituminous curb and gutter, minor storm sewer/culvert repairs and replacements, and paving of a new roadway surface with two lifts of bituminous. The roadway width is proposed to stay the same width as currently exists. The project is proposed to be funded through a combination of special assessments and City funds. In accordance with the City's Assessment Manual, twenty-five percent (25%) of the total project costs for the street reconstruction would be assessed to the benefiting properties or specifically those properties fronting along or addressed along the roadway being improved. The remaining seventy-five percent (75%) of the costs associated with the project will be funded through the City's Road and Bridge Fund. Based on the proposed improvements relative to your parcel and as identified in the feasibility report, your estimated assessment is $29.970.00 (3 potential units at $9,990.00 each) for street reconstruction. Enclosed is a public hearing notice for the proposed project. If you have any questions, feel free to contact me at (763) 767-5133, or Jason Law, Assistant City Engineer at (763) 767-5130. Sincerely, David D. Berkowitz, P.E. Director of Public Works/City Engineer Encl. cc: Mayor & City Council 9Y O F UOVE 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV CITY OF ANDOVER COUNTY OF ANOKA STATE OF MINNESOTA NOTICE OF HEARING ON IMPROVEMENTS PROJECT NO. 22-2 2022 STREET RECONSTRUCTION NOTICE IS HEREBY GIVEN that the City of Andover, Anoka County, Minnesota will meet at the Andover City Hall, 1685 Crosstown Boulevard NW in the City of Andover, at the regularly scheduled City Council meeting on Tuesday, December 7, 2021 at 7:00 PM to consider construction of the following improvements: 2022 Street Reconstruction Timber River Estates and Rolling Meadows Estates The properties to be assessed, pursuant to Minnesota Statutes Section 429, for the improvements are within the following described area: 2022 Street Reconstruction Timber River Estates and Rolling Meadows Estates The estimated assessment rate is: $5,360.00 or $9,990.00 Such persons desiring to be heard with reference to the proposed improvements will be heard at this meeting. CITY OF ANDOVER Mi helle Harmer —Deputyerk Publication Dates: November 19, & 26, 2021 (Anoka Union) DATE: PROJECT: #22-02 Street Reconstruction PIN: LOT: BLOCK: Address: Street Reconstruction $ 5,360.00 CITY OF ANDOVER Special Assessment Roll Interest Rate: 4.50% Number of Payments: 8 Annual Payment: $ 812.63 2023 2024 2025 2026 2027 2028 2029 2030 TOTAL Principal $ 571.43 $ 597.14 $ 624.02 $ 652.10 $ 681.44 $ 712.11 $ 744.15 $ 777.61 $ 5,360.00 Interest 241.20 215.49 188.61 160.53 131.19 100.52 68.48 35.02 1,141.04 Total $ 812.63 $ 812.63 $ 812.63 $ 812.63 $ 812.63 $ 812.63 $ 812.63 $ 812.63 $ 6,501.04 Principal Balance: $ 4,788.57 $ 4,191.43 $ 3,567.41 $ 2,915.31 $ 2,233.87 $ 1,521.76 $ 777.61 $ - NOTE: 1. Interest will start accruing from the date the special assessment is adopted. DATE: PROJECT: #22-02 Street Reconstruction PIN: LOT: BLOCK: Address: Street Reconstruction $ 9,900.00 CITY OF ANDOVER Special Assessment Roll Interest Rate: 4.50 Number of Payments: 8 Annual Payment: $ 1,500.94 2023 2024 2025 2026 2027 2028 2029 2030 TOTAL Principal $ 1,055.44 $ 1,102.93 $ 1,152.57 $ 1,204.43 $ 1,258.63 $ 1,315.27 $ 1,374.46 $ 1,436.27 $ 9,900.00 Interest 445.50 398.01 348.37 296.51 242.31 185.67 126.48 64.67 2,107.52 Total $ 1,500.94 $ 1,500.94 $ 1,500.94 $ 1,500.94 $ 1,500.94 $ 1,500.94 $ 1,500.94 $ 1,500.94 $ 12,007.52 Principal Balance: $ 8,844.56 $ 7,741.63 $ 6,589.06 $ 5,384.63 $ 4,126.00 $ 2,810.73 $ 1,436.27 $ - NOTE: 1. Interest will start accruing from the date the special assessment is adopted. �QLNDOVOEFRAW 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV Name Doyxo,lr �2 La;s S4oyet^ NAA.l-C, tf�1✓vu S Ar -r\ �1Vn i -e.(S 2022 Street Reconstruction (C.P. 22-02) Neighborhood Informational Meeting Wednesday, November 3, 2021 5:30 p.m. — 6:30 p.m. Address 1,10% Wo c.y S`i U��} /Lw S-0 1'2- [I [ s t *,Y- owy 579( 4V0 *(Z/ 1 z��c�� Safi 1c� l 7e) 3 3 /�r� yah 5/ X1/y rwt�,¢v�c�4� �t 6 j W 1 � ort � �ccl`► s� s -i- �.1v✓ -7010q SAPIJ,uSY W"J 01.0 Phone 3a�- 7(,t- S 6s 7 (p (Z- 9��- G/)-766gyi 1 433 -bo 7G3-Y&b-3, 51z GSI. z/,—' •Z6i. E -Mail 1 (JoAwlr�� `-S4o vet- ed 1H 9-05 fra ocrt l� l .— sblei (dvtei Sk@ wmLC�Sf-hel � c� — a�''�a� an �.ean.hal �i �o►�f�cc� -7�3~ 3k, 2Z-1�9 7&2-786'0-7/ foia laCo3 GoL� Jevm��yl�@bm I coF+t Name J) L r Ac ' T Y 0 F NDOVE 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV IS /46d sir., 10 (',1)s s -A P _ e54{ +2- � � u 2022 Street Reconstruction (C.P. 22-02) Neighborhood Informational Meeting Wednesday, November 3, 2021 5:30 p.m. — 6:30 p.m. Address nms t, roan 2, Nyy 6 A)U) 4a�;eo st-AW QO Phone (b►2� 3'�s-mss Wz . 3010q � -Aa3 -aa-7 3-/b I E -Mail Jtll.�. �cQch�gm��- O'l COM,=A _ e CCS-, 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV 2022 STREET RECONSTRUCTION RESIDENT COMMENT FORM Please complete and return this survey to my attention via email at J.Lawna,Andovermn.gov, or via US Mail: City of Andover c/o Jason Law 1685 Crosstown Blvd NW Andover, MN 55304 Please check one of the following boxes regarding existing irrigation systems / underground fences so they can be noted on the construction plans. Yes, I have an irrigation system or underground fence near the roadway. No, I do not have an irrigation system or underground fence near the roadway. Additional comments: / Gl°o.7 ,� %�� .n k 741,,-;,' .4y�4P c n1 f /ass e SsWr�� - Name: Address: /:u%/ ,134-0,1e)1i1 s- AlG✓ zb l7 YL - Phone Number: 7G3 - �-f 3s,- Z Email Address: La /L4c (F 6/1 .41 e-- , Com 1685 CROSSTOWN BOULEVARD N.W. •ANDOVER. MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVELth1N.(iOV 2022. STREET RECONSTR UCTIONRESIDENT COMMENT FORM Please complete and return this survey to my attention via email at J.Law@AndovernTa M, or via US Mail: City of Andover c/o Jason .Law 1685 Crosstown Blvd NW Andover, MN 55304 Please check one of the following boxes regarding existing irrigation systems / underground fences so they can be noted on the construction plans. Ez�yes, I have an irrigation system or underground fence near the roadway. Additiol No, .I do not have an irrigation system or underground fence near the roadway. Phone Number: Email 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV 2022 STREET RECONSTRUCTION RESIDENT COMMENT FORM Please complete and return this survey to my attention via email at J.Law e Andovermn.gov, or via US Mail: City of Andover c/o Jason Law 1685 Crosstown Blvd NW Andover, MN 55304 Please check one of the following boxes regarding existing irrigation systems / underground fences so they can be noted on the construction plans. Yes, I have an irrigation system underground fence near the roadway. ❑ No, I do not have an irrigation system or underground fence near the roadway. Additional comments:AWN ,r�S1 -TXO G Name: W I LL1'A h Address: 1.j 1 TT A 2=ra0 Z}r t -)1J Phone Number: --% Z 3 — 4 0 " 014 l`( Email u- DWL o00 "57',EnS aS 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV 2022 STREET RECONSTR UCTION RESIDENT COMMENT FORM Please complete and return this survey to my attention via email at J.Law@Andovermn.gov, or via US Mail: City of Andover c/o Jason Law 1685 Crosstown Blvd NW Andover, MN 55304 Please check one of the following boxes regarding existing irrigation systems / underground fences so they can be noted on the construction plans. Additiot Yes, I have an irrigation system or underground fence near the roadway. No, I do not have an irrigation system or underground fence near the roadway. r RGA Dave Berkowitz From: Jason Sichler <jsichler@sstoolusa.com> Sent: Monday, August 02, 20214:20 PM To: Dave Berkowitz Cc: Sheri Bukkila; James Dickinson; Stacia Sichler Subject: RE: Road Assessments Thanks for the information. Jason Sichler S & S Tool Inc. 830 Lund Blvd. Anoka, MN 55303 763-427-0411 Ext. 209 (phone) 763-427-0439(fax) Email: isichler(@sstoolusa.com From: Dave Berkowitz <D.Berkowitz@andovermn.gov> Sent: Monday, August 2, 20214:18 PM To: Jason Sichler <jsichler@sstoolusa.com> Cc: Sheri Bukkila <cm.bukkila@andovermn.gov>; James Dickinson <J.Dickinson @andovermn.gov>; Stacia Sichler <stacia.sichler@hotmail.com> Subject: RE: Road Assessments Jason, Yes. There will be two separate letters sent. One invitation for the neighborhood meeting and a letter/notice for the Public Hearing. Thank You David D. Berkowitz, P.E. City of Andover Director of Public Works/City Engineer 763-767-5133 From: Jason Sichler <jsichler@sstoolusa.com> Sent: Monday, August 02, 20213:14 PM To: Dave Berkowitz <D.Berkowitz@andovermn.aov> Cc: Sheri Bukkila <cm.bukkilaCa andovermn.gov>; James Dickinson <J.Dickinson @andovermn.eov>; Stacia Sichler <stacia.sichler@hotmail.com> Subject: RE: Road Assessments Good Afternoon Dave, Any follow up on this question? 1 Jason Sichler S & S Tool Inc. 830 Lund Blvd. Anoka, MN 55303 763-427-0411 Ext. 209 (phone) 763-427-0439 (fax) Email: isichler@sstoolusa.com From: Jason Sichler Sent: Thursday, July 29, 202111:28 AM To: Dave Berkowitz <D.Berkowitz@andovermn.aov> Cc: Sheri Bukkila <cm.bukkila@andovermn.eov>; James Dickinson <J.Dickinson @andovermn.eov>; Stacia Sichler <stacia.sichler@hotmail.com> Subject: RE: Road Assessments Thank you. So, the way I read this, there will be a letter sent out of residents of the neighborhood informing them that there will be an official neighborhood meeting before the official public hearing in January? Jason Sichler S & S Tool Inc. 830 Lund Blvd. Anoka, MN 55303 763-427-0411 Ext. 209 (phone) 763-427-0439(fax) Email: isichler@sstoolusa.com From: Dave Berkowitz <D.Berkowitz@andovermn.gov> Sent: Thursday, July 29, 202111:22 AM To: Jason Sichler<isichler@sstoolusa.com> Cc: Sheri Bukkila <cm.bukkila@andovermn.gov>; James Dickinson <J.Dickinson @andovermn.eov> Subject: FW: Road Assessments Mr. Sichler, The next meeting tentatively set to discuss possible assessment methods for the 2022 Street Reconstruction project is August 24th, City Council Workshop. A neighborhood meeting would be held in September or October. The official Public Hearing for the project would most likely be in January 2022. Letters are sent out for the neighborhood meeting and Public Hearing. Check the posted agenda in the Anoka Union for the Workshop date and time or stay in contact with me and I can let you know. Thank You David D. Berkowitz, P.E. City of Andover Director of Public Works/City Engineer 763-767-5133 2 From: Jason Sichler <jsichler@sstoolusa.com> Sent: Monday, July 26, 202112:29:02 PM To: Sheri Bukkila <cm.bukkila@andovermn.gov> Cc: Stacia Sichler <stacia.sichler@hotmail.com> Subject: Road Assessments EXTERNAL EMAIL ALERT: This message originated from outside the City of Andover email system. Use Caution when clicking hyperlinks, downloading pictures or opening attachments. Good Morning Sheri, I have been reading the city minutes and it looks like nothing has been decided on what the assessment will be for our roads when they are re -paved in 2022 We currently live at 4936 171st Ave. N.W., we are in the Rolling Meadows development, but will be done at the same time as Timber Rivers from the letter received in 2020, we have concerns about some of the ideas being passed around in the city council minutes. I have read that the assessment will be based on everything from lot acreage to road frontage. As you can see for the road we are on, we have more road frontage than almost all of our neighbors, just by the design of the development. We all have similar sized lots, I am not sure why we would be expected to pay more based on our road frontage, if that is what the city council decides. Everyone in the neighborhood uses the same roads regardless of road frontage of our lots. This truly seems like a unfair way to come up with an assessment. Our neighbors, who are retired and on fixed income, and live across the street have 13 acres and will really be hit hard if road frontage is used in the assessment as they have more frontage than anyone in the neighborhood, but again don't use the roads any more or any less than anyone else in the neighborhood does. Please advise on when, and where there will be an public input meeting before the final decision is made on how the assessments will be calculated as I would like to attend, and give my opinion on the matter. Thank you, Jason Sichler S & S Tool Inc. 830 Lund Blvd. Anoka, MN 55303 763-427-0411 Ext. 209 (phone) 763-427-0439 (fax) Email: isichler@sstoolusa.com 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 . WWW.ANDOVERMN.GOV 2022 STREET RECONSTRUCTIONRESIDENT SURVEY Please complete and return this survey to my attention via email at J.Lawp ndovermn.gov, or via US Mail: City of Andover. c/o Jason Law 1685 Crosstown Blvd NW Andover, MN 55304 Please check one of the following boxes regarding existing irrigation systems / underground fences so they can be noted on the construction plans. Yes, I have an irrigation system or underground fence near the roadway. F] No, I do not have an((inigation system or underground fen(cce near the roadway. // Additional comments: `i P" -f - (�.q vv � I 1 T u.�" d o tJ ti 5 & i � ¢ S 1-:5 :` Name: V 15 Address: 'tel o 7 /1ye V W .44) li^1 ,5-5 j a� Phone Number: -7 Co 3 --3? 7 c7 Email 4 2Z -oz CITY i31< N� CI 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 , (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV 2022 STREET RECONSTRUCTIONRESIDENT SURVEY Please complete and return this survey to my attention via email at J.Law@Andovermn.gov or via US Mail: City of Andover c/o Jason Law 1685 Crosstown Blvd NW Andover, MN 55304 Please check one of the following boxes regarding existing irrigation systems / underground fences so they can be noted on the construction plans. 0 Yes, I have an irrigation system or underground fence near the roadway. No, I do not have an irrigation system or underground fence near the roadway. Additional comments: 16977A La+.ur NW is, /+v .Vewo ZSR' P.Covta ttitAtAJrtaaydRltx"i ..AT Ta+S -Ray6t t,L1t" A overpt, A4AK0 t7- 7a ZDZ2 /M tTS D291sow T 40. #01780'%) Name: Roeewr Z Aatuarm MAN4,Aup1 S Address: SZZI ib4T1J LAAj# NN/� Phone Number: Sea S44 $/53 Email Address:_'_RM"i Aup%y a G.,4m . , Cotte Z2-02- 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 . (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV 2022 STREET RECONSTRUCTIONRESIDENT SURVEY Please complete and return this survey to my attention via email at J.Lawna Andovermn.eov, or via US Mail: City of Andover c/o Jason Law 1685 Crosstown Blvd NW Andover, MN 55304 Please check one of the following boxes regarding existing irrigation systems / underground fences so they can be noted on the construction plans. Yes, I have an irrigation system or underground fence near the roadway. I�71 No, I do not have an irrigation system or underground fence near the roadway. Additional Name: Address: VW 170'" AVE A84) Phone Number: EmailAddress:. FF P G Mpi , �p yl 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV 2022 STREET RECONSTR UCTION RESIDENT SURVEY Please complete and return this survey to my attention via email at J.Law e,Andovermn.gov, or via US Mail: City of Andover c/o Jason Law 1685 Crosstown Blvd NW Andover, MN 55304 Please check one of the following boxes regarding existing irrigation systems / underground fences so they can be noted on the construction plans. lerYes, I have an irrigation system or e>t ee near the roadway El No, I do not have an irrigation system or underground fence near the roadway. Additional comments: (ZE000 c��WC i F-311 c) -T- ZO'Ll "9 Name: Address: E.% (00 Orcr� tt Phone Number: 1Z 7-01 Email Address: 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV 2022 STREET RECONSTRUCTION RESIDENT SURVEY Please complete and return this survey to my attention via email at J.Law@Andovermn.gov, or via US Mail: City of Andover c/o Jason Law 1685 Crosstown Blvd NW Andover, MN 55304 Please check one of the following boxes regarding existing irrigation systems / underground fences so they can be noted on the construction plans. VYes, I have an irrigation system or underground fence near the roadway. Additio No, I do not have an irrigation system or underground fence near the roadway. Name: ( ) IPA d'( ) Cpm; 6 Vi Phone Number: ♦ i Is Email Address Dave Berkowitz From: Valerie Holthus Sent: Wednesday, November 03, 2021 8:10 AM To: RANDY ALBERG Cc: Dave Berkowitz Subject: Re: Letter of Protest of Road assessments Hello Randy, Thank you very much for your email. If you come to the meeting tonight, I believe you will hear an explanation of the cost allotment reasoning. Thanks, Val Holthus Get outlook for IDS From: RANDY ALBERG <raalberg@comcast.net> Sent: Tuesday, November 2, 202112:53:06 PM To: Valerie Holthus <cm.holthus@andovermn.gov> Subject: Letter of Protest of Road assessments l.. Si You don't often get email from raalberg@comcast.net Learn why this is important I. EXTERNAL EMAIL ALERT: This message originated from outside the City of Andover email system. Use Caution when clicking hyperlinks, downloading pictures or opening attachments. RE: City of Andover 2022 Street Reconstruction Project (C.P. 22-02) Good morning, After looking at all for options listed I"m not sure how you chose to split the area to maintain more consistency with past practices? My brother who just redid there roads this summer, just 1 mile north off 7th Ave with multi level lot sizes was split evenly between all residence. Another friend of mine who lives in Nowthan had the same scenario and all residence paid the same assessment regardless of there lot size. If your reasoning is because larger lot sizes have more road frontage let me list several less then 2.5 aces homes that have two sides of road frontage. Under 2.5 171st and Argon is 1.21 acres. 171st and Argon 2.02 (other side of 171st from the one listed above). 171st and 170th 1.87 acres (Ed - the bar owners house) 169th and Argon 1.69 acres. Waco and 170th (across from Ed) .99 acre 170th and Salish 1.83 acres. 170th and Salish 1.09 (across Salish from the one above) Why would they pay less then someone with over 2.5 aces. When you try and justify your reasoning for diving assessment by property size, what about: 1. People.who live in the back' of the neighborhood they use the maximum of the road. They should pay the higher assessment. 2. 1 work from home and don't use the roads all week. 3. We are retired and go south for 4 months and don't use the roads at all. 4. 1 don't drive so why would I pay for a road I am never going to use. 5. How may vehicles and licensed driver are in your household 6. My house value is over $400,000 why wouldn't my road assessment match my taxes value. The list is endless, so what is truly fair to each households? The only fair, equitable, and American way is to divide the assessment cost is Option 1 everyone pays the same amount of $7000 per household. Thank you Randy and Arlene Alberg 17096 Yakima St Andover MN 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV TO: Planning & Zoning Commission CC: Jim Dickinson, City Administrato Joe Janish, Community Develop n e y% FROM: Jake Griffiths, Associate Planner SUBJECT: Consider Variance Request — Increase Maximum Size of Ground Mounted Solar Panels — 16971 Ward Lake Drive NW — Harold & Linda Haluptzok (Applicants) — Planning DATE: December 7, 2021 INTRODUCTION The applicants are requesting a variance for their property located at 16971 Ward Lake Drive NW in order to construct 3,600 square feet of ground mounted solar panels on their property. The subject property is located within the R-1: Single Family Rural zoning district and is 114 acres in size. What is a Variance? A variance is a way that cities may allow for an exception to part of an ordinance for a specific property. A variance is generally for dimensional standards such as setbacks or height limits and allows the landowner to break a dimensional rule that would otherwise apply. Minnesota State Statute and City Code provide specific criteria the City must consider when reviewing a variance request, this criteria is included later in this report. If a variance is approved it becomes a property right which runs with the land. DISCUSSION The applicants are proposing to construct 3,600 square feet of ground mounted solar panels. Ground mounted solar panels are freestanding solar systems mounted directly to the ground using a rack or pole rather than being mounted on a building. In the case of this property, City Code 9-14-5 would allow for up to 1,200 square feet of ground mounted solar panels to be constructed. In order for the applicants to construct the proposed 3,600 square feet of ground mounted solar panels on their property, a variance for an additional 2,400 square feet is required. A potential alternative to the proposed ground mounted solar panels would be roof mounting. City Code allows roof mounted solar panels as an accessory use in all zoning districts and generally does not have any restrictions on maximum size other than that they may not extend beyond the perimeter of the roofline and must meet all applicable height restrictions. If roof mounted solar panels were used, a variance may not be required. City staff shared this potential alternative with the applicants and they chose to move forward with their proposal and variance request due to concerns with the addition of solar panels to the roof of their dwelling. Review Criteria City Code 12-14-7 establishes review criteria for considering a variance request and states that variances shall only be permitted when they are in harmony with the general purposes and intent of the official control and when the variances are consistent with the comprehensive plan. Variances may be granted when the applicant for the variance establishes that there are practical difficulties in complying with the official control. "Practical difficulties" as used in connection with the granting of a variance, means: 1. The property owner proposes to use the property in a reasonable manner not permitted by an official control. P2 • The applicants are looking to construct solar panels on their property in order to have a positive impact on energy production and conservation. • City Code and the Comprehensive Plan encourage the use of alternative energy, such as solar panels, in ways that will not have an adverse impact on the community. • City Code allows for the construction of solar energy systems in all zoning districts provided they meet City Code requirements. • The applicants believe their request is reasonable as the increased size will allow for a solar energy system that will meet their energy needs year-round. 2. The plight of the landowner is due to circumstances unique to the property not created by the landowner. • The subject property is 114 -acres in size and is much larger than the typical 2.5 -acre rural lot within the City. • The applicant has indicated their home is 7,000 square feet in size and may be above- average sized for the City. • The applicant has indicated that their dwelling has a roof utilizing cedar shakes which would not allow for the use of solar panels on the roof. • The applicant has indicated that most contractors they have worked with would not install solar panels over top of cedar shakes. 3. The variance, if granted, will not alter the essential character of the locality. • The subject property is 114 acres in size. • The subject property is located within the rural portion of the community. • The subject property is zoned R-1: Single Family Rural. • The proposed ground mounted solar panels will be setback approximately 1,777 feet from Ward Lake Drive NW, 1,700 feet from Crosstown Blvd NW and 588 feet from the nearest property line. • The proposed ground mounted solar panels will be screened in accordance with City Code requirements and meet all other City Code requirements. 4. Economic considerations alone do not constitute practical difficulties. - • If the variance is not granted, the applicant has indicated the 1,200 square foot maximum for ground mounted solar panels would not provide the electricity they need to meet their energy needs year-round. • The applicant has indicated they are not comfortable with the use of roof mounted solar panels partially due to the cost of potential roof reconstruction and maintenance. • As the amount of solar power varies from day to day, the applicant has indicated they may sell a limited amount of electricity back to the public utility which may create a profit for the applicants. • A 1,200 square foot system would actually cost the applicants less money to construct versus the proposed 3,600 square foot system. The City Council may also impose reasonable conditions on the granting of a variance request. A condition must be directly related to and must bear a rough proportionality to the impact created by the variance. One such condition might be screening or landscaping. Planning & Zoning Commission Review At their November 23, 2021 meeting, the Planning & Zoning Commission held a public hearing on the variance request and made a unanimous recommendation of approval to the City Council (6 -yes, 0 -no, 1 - absent). The findings of fact to support their recommendation are included in the attached Draft Resolution of Approval. P3 The City received one written comment prior to the meeting which expressed no concerns with the variance request. There were three residents in attendance at the meeting, one of which was the applicant. One resident addressed the Commission and stated they were in favor of the variance request and was in favor of more solar panel construction across the City. No other comments were received as part of the public hearing. After the public hearing was closed, the Commission discussed why a variance was needed rather than a conditional use permit. Staff responded that since increased ground mounted solar panels were not listed as a conditional use in the City Code, a conditional use permit could not be utilized. The Commission also discussed what would happen if the property were subdivided in the future. Staff responded that the situation would need to be reviewed at the time of subdivision and that variances are property rights that run with the land. One Commissioner stated that they felt that when the City Code was written nobody considered a 100 -acre size property. ACTION REQUESTED The City Council is requested to consider the recommendation of the Planning & Zoning Commission and make a decision based on findings of fact on the variance request. Staff has attached draft resolutions for approval and denial that include findings the City Council may choose to consider in making its decision. ectf�u/ll/yy submitted, Jake Gri ifFI s Associate Planner Attachments Page # Draft Resolution of Approval..................................................................................... 4 Draft Resolution of Denial.........................................................................................7 SiteLocation Map.................................................................................................. 9 City Code 9-14: Solar Energy Systems..........................................................................10 City Code 12-14-7: Variance Review Criteria..................................................................15 Applicant's Materials...............................................................................................18 Applicant's Letter..........................................................................................18 SitePlan...................................................................................................20 Map Showing Setbacks................................................................................. 21 Ground Mounted System Flyer........................................................................ 22 Draft Construction Plans................................................................................ 24 CC: Harold & Linda Haluptzok, 16971 Ward Lake Drive NW, Andover, MN 55304 W CITY OF ANDOVER COUNTY OF ANOKA STATE OF MINNESOTA RES. NO. A RESOLUTION APPROVING A VARIANCE FOR THE PROPERTY LOCATED AT 16971 WARD LAKE DRIVE NW, PID# 12-32-24-24-0002, LEGALLY DESCRIBED AS: THE S1/2 OF NWl/4 OF SEC 12 TWP 32 RGE 24 EX NI/2 OF SWIA OF SD NW1/4 ALSO EX A PARCEL DESC AS FOL: BEG AT SW COR OF SD SW1/4 OF NW1/4, TH NLY ALG W LINE OF SD 1/4 OF 1/4,250 FT, TH ELY ALG A LINE PERPENDICULAR TO W LINE OF SD 1/4 OF 1/4,174.24 FT, TH SLY ALG A LINE PRILL/W W LINE OF SD 1/4 OF 1/4, 250 FT + OR — TO S LINE OF SD 1/4 OF 1/4,174.24 FT + OR — TO POB, TOG/W NEI/4 OF SWI/4 AND SEI/4 OF SWI/4 SD SEC, EX THAT PRT LYG SELY OF CASH NO 18, ALSO EX RD SUBJ TO EASE OF REC WHEREAS, the applicant has requested approval of a variance from City Code 9 -14 -5 -4 -b -ii to increase the maximum size of ground mounted solar energy systems on the subject property from 1,200 square feet to 3,600 square feet; and, WHEREAS, the Andover Review Committee has reviewed the variance request; and, WHEREAS, pursuant to published and mailed notice thereof, the Planning and Zoning Commission held a public hearing on November 23, 2021 pursuant to the requirements of City Code 12-14-7; and, WHEREAS, the Planning and Zoning Commission has determined that said request is in harmony with the general purposes and intent of the official control and is consistent with the Comprehensive Plan; and, WHEREAS, the Planning and Zoning Commission recommends to the City Council approval of the variance request; and, WHEREAS, the City Council completed a review of the variance request along with the recommendation of the Planning and Zoning Commission; and, WHEREAS, the City Council approves the variance request to increase the maximum size of ground mounted solar energy systems from 1,200 square feet to 3,600 square feet in order to accommodate the construction of a solar energy system to provide for the year-round electricity needs of the applicants; and, WHEREAS, based on the criteria for granting a variance under City Code 12-14-7, the City Council finds the following findings of facts to support the approval of the variance requests: P5 1. The property owner proposes to use the property in a reasonable manner not permitted by an official control. • The applicants are looking to construct solar panels on their property in order to have a positive impact on energy production and conservation. • City Code and the Comprehensive Plan encourage the use of alternative energy, such as solar panels, in ways that will not have an adverse impact on the community. • City Code allows for the construction of solar energy systems in all zoning districts provided they meet City Code requirements. • The applicants believe their request is reasonable as the increased size will allow for a solar energy system that will meet their energy needs year-round. 2. The plight of the landowner is due to circumstances unique to the property not created by the landowner. • The subject property is 114 -acres in size and is much larger than the typical 2.5 - acre rural lot within the City. • The applicant has indicated their home is 7,000 square feet in size and may be above-average sized for the City. • The applicant has indicated that their dwelling has a roof utilizing cedar shakes which would not allow for the use of solar panels on the roof. • The applicant has indicated that most contractors they have worked with would not install solar panels over top of cedar shakes. 3. The variance, if granted, will not alter the essential character of the locality. • The subject property is 114 acres in size. • The subject property is located within the rural portion of the community. • The subject property is zoned R-1: Single Family Rural. • The proposed ground mounted solar panels will be setback approximately 1,777 feet from Ward Lake Drive NW, 1,700 feet from Crosstown Blvd NW and 588 feet from the nearest property line. • The proposed ground mounted solar panels will be screened in accordance with City Code requirements and meet all other City Code requirements. 4. Economic considerations alone do not constitute practical difficulties. • If the variance is not granted, the applicant has indicated the 1,200 square foot maximum for ground mounted solar panels would not provide the electricity they need to meet their energy needs year-round. • The applicant has indicated they are not comfortable with the use of roof mounted solar panels partially due to the cost of potential roof reconstruction and maintenance. • As the amount of solar power varies from day to day, the applicant has indicated they may sell a limited amount of electricity back to the public utility which may create a profit for the applicants. • A 1,200 square foot system would actually cost the applicants less money to construct versus the proposed 3,600 square foot system. NOW, THEREFORE, BE IT RESOLVED, that the City Council of the City of Andover hereby approves the variance request with the following conditions: 1. All appropriate permits shall be obtained prior to construction. 2. The solar energy system must meet all other applicable City Code requirements. 3. Pursuant to City Code 12-14-7-E-6, if the City Council determines that no significant progress has been made in the first twelve (12) months after the approval of the variance, the variance will be null and void. Adopted by the City Council of the City of Andover this 7th day of December, 2021. CITY OF ANDOVER ATTEST: Michelle Hartner, Deputy City Clerk Sheri Bukkila, Mayor W P7 CITY OF ANDOVER COUNTY OF ANOKA STATE OF MINNESOTA RES. NO. A RESOLUTION DENYING A VARIANCE FOR THE PROPERTY LOCATED AT 16971 WARD LAKE DRIVE NW, PID# 12-32-24-24-0002, LEGALLY DESCRIBED AS: THE S1/2 OF NWIA OF SEC 12 TWP 32 RGE 24 EX NI/2 OF SW1/4 OF SD NWIA ALSO EX A PARCEL DESC AS FOL: BEG AT SW COR OF SD SWIA OF NWl/4, TH NLY ALG W LINE OF SD 1/4 OF 1/4,250 FT, TH ELY ALG A LINE PERPENDICULAR TO W LINE OF SD 1/4 OF 1/4,174.24 FT, TH SLY ALG A LINE PRILL/W W LINE OF SD 1/4 OF 1/4, 250 FT + OR — TO S LINE OF SD 1/4 OF 1/4,174.24 FT + OR — TO POB, TOG/W NEIA OF SWIA AND SETA OF SW1/4 SD SEC, EX THAT PRT LYG SELY OF CASH NO 18, ALSO EX RD SUBJ TO EASE OF REC WHEREAS, the applicant has requested approval of a variance from City Code 9 -14 -5 -4 -b -ii to increase the maximum size of ground mounted solar energy systems on the subject property from 1,200 square feet to 3,600 square feet; and, WHEREAS, the Andover Review Committee has reviewed the variance request; and, WHEREAS, pursuant to published and mailed notice thereof, the Planning and Zoning Commission held a public hearing on November 23, 2021 pursuant to the requirements of City Code 12-14-7; and, WHEREAS, the Planning and Zoning Commission has determined that said request is in harmony with the general purposes and intent of the official control and is not consistent with the Comprehensive Plan; and, WHEREAS, the Planning and Zoning Commission recommends to the City Council approval of the variance request; and, WHEREAS, the City Council completed a review of the variance request along with the recommendation of the Planning and Zoning Commission; and, WHEREAS, the City Council disagrees with the recommendation of the Planning and Zoning Commission; and, WHEREAS, the City Council denies the variance request to increase the maximum size of ground mounted solar energy systems from 1,200 square feet to 3,600 square feet; and, WHEREAS, based on the criteria for granting a variance under City Code 12-14-7, the City Council finds the following findings of facts to deny the variance request: m 1. 2. 3. NOW, THEREFORE, BE IT RESOLVED, that the City Council of the City of Andover hereby denies the variance request to increase the maximum size of ground mounted solar energy systems on the subject property. Adopted by the City Council of the City of Andover this 7th day of December, 2021. CITY OF ANDOVER ATTEST: Michelle Harmer, Deputy City Clerk Sheri Bukkila, Mayor C-N:a.. i ---4- n A—— Date Created: November 05. 2021 Disclaimer. The provider makes no representation or warranties with respect to the reuse o/ this data. -o CO P10 CHAPTER14 SOLAR ENERGY SYSTEMS SECTION 9-14-1 Purpose and Intent 9-14-2 Definitions 9-14-3 Accessory Use 9-14-4 Exemptions 9-14-5 System Standards 9-14-1: PURPOSE AND INTENT: It is the goal of the city council for Andover to become a more sustainable community by encouraging activities that conserve energy and result in less/no pollution output such as alternative energy sources. In accordance with that goal, the city finds that it is in the public interest to encourage alternative energy systems that have a positive impact on energy production and conservation while not having an adverse impact on the community. Therefore, the purposes of this section include: 1. To promote rather than restrict development of alternative energy sources by removing regulatory barriers and creating a clear regulatory path for approving alternative energy systems. 2. To create a livable community where development incorporates sustainable design elements such as resource and energy conservation and use of renewable energy. 3. To protect and enhance air quality, limit the effects of climate change and decrease use of fossil fuels. 4. To encourage alternative energy development in locations where the technology is viable and environmental, economic and social impacts can be mitigated. 9-14-2: DEFINITIONS: The following words, terms and phrases shall have the following meanings when used in this chapter: ALTERNATIVE ENERGY SYSTEM: An energy transfer of generating system such as ground source heat pump, wind or solar energy system. SOLAR COLLECTOR: A device, structure or a part of a device or structure for which the primary purpose is to capture sunlight and transform it into thermal, mechanical, chemical, or electrical energy. P11 SOLAR ENERGY: Radiant energy received from the sun that can be collected in the form of heat or light by a solar collector. SOLAR ENERGY SYSTEM: A device or structural design feature, a substantial purpose of which is to provide daylight for interior lighting or provide for the collection, storage and distribution of solar energy for space heating or cooling, electricity generation or water heating. SOLAR ENERGY SYSTEM, ACTIVE: A solar energy system whose primary purpose is to harvest energy by transferring solar energy into another form of energy or transferring heat from a solar collector to another medium using mechanical, electrical, or chemical means. SOLAR ENERGY SYSTEM, BUILDING INTEGRATED: A solar energy system that is an integral part of a principal or accessory building, replacing or substituting for an architectural or structural component of the building. Building integrated systems include, but are not limited to, photovoltaic or hot water solar energy systems that are contained within or substitute for roofing materials, windows, skylights, awnings and shade devices. SOLAR ENERGY SYSTEM, GROUND MOUNTED: A freestanding solar system mounted directly to the ground using a rack or pole rather than being mounted on a building. SOLAR ENERGY SYSTEM, PASSIVE: A system that captures solar light or heat without transforming it to another form of energy or transferring the energy via a heat exchanger. SOLAR ENERGY SYSTEM, ROOF MOUNTED: A solar energy system mounted directly or abutting the roof of a principal or accessory building. SOLAR HOT WATER SYSTEM (Also THERMAL SYSTEM): A system that includes a solar collector and a heat exchanger that heats or preheats water for building heating systems or other hot water needs, including residential domestic hot water and hot water for commercial processes. 9-14-3: ACCESSORY USE: 1) Ground mounted solar energy systems shall be allowed in the R-1, Single Family Rural District as a permitted accessory use in accordance with the standards in this section. 2) Roof mounted solar energy systems shall be allowed as a permitted accessory use in all zoning districts in accordance with the standards in this section. P12 9-14-4: EXEMPTIONS: Passive or building integrated solar energy systems are exempt from the requirements of this section and shall be regulated as any other building element. 9-14-5: SYSTEM STANDARDS: 1) Electrical: a) All utilities shall be installed underground except the electrical lines for roof mounted units. b) An exterior utility disconnect switch shall be installed at the electric meter serving the property. c) Solar energy systems shall be grounded to protect against natural lightning strikes in conformance with the national electrical code as adopted by the city. d) No solar energy system shall be interconnected with a local electrical utility until the utility has reviewed and provided written approval for the interconnection. The interconnection of the solar energy system with the utility shall comply with the City Code and Minnesota State Building Code. e) All solar energy systems shall meet the standards of the Minnesota State Building Code. 2) Aesthetics: All solar energy systems shall be designed to blend into the architecture of the building to the extent possible without negatively impacting the performance of the system and to minimize glare towards vehicular traffic and adjacent properties. 3) Glare: The panels of ground mounted solar energy systems shall be placed and arranged such that reflected solar radiation or glare shall not be directed onto adjacent buildings, properties or roadways. Prior to the issuance of a permit for a ground mounted solar energy system, the permit applicant must provide an analysis demonstrating that the ground mounted system will not impact aesthetics of adjacent properties. 4) Location: a) Roof mounting: 1) The solar energy system shall comply with the maximum height requirements of the applicable zoning district. Roof mounted solar collectors shall be flush mounted on pitched roofs unless the roof pitch is determined to be inadequate for optimum performance of the P13 solar energy system in which case the pitch of the solar collector may exceed the pitch of the roof up to 5% but in no case shall be higher than ten inches above the roof. Solar collectors on flat roofs may be bracket mounted. Commercial/Industrial collectors located on flat roofs shall be placed on the roof to limit the visibility from public right- of-ways and residential properties and meet the screening requirements of the City Code. 2) The solar energy system shall not extend beyond the perimeter of the exterior walls of the building on which it is mounted. b) Ground mounting: 1) The solar energy system shall not be located in the front yard as defined by City Code Section 12-2-2. (Amended Ord. 502, 3/2/20) 2) All components of the solar energy system shall be set back a minimum of thirty feet (30') from interior side lot lines and rear lot lines, and shall otherwise be set back as required by City Code Section 12-6-5 for accessory structures. (Amended Ord. 502, 3/2/20) 3) The solar energy system shall not exceed fifteen feet (15') in height. 4) The solar energy system shall be limited to a maximum ground coverage area based on parcel/lot area (Amended Ord. 502, 3/2/20): i. Lots Less Than 3 Acres — On parcels less than three (3) acres, the maximum ground mounted solar electric ground coverage area must not exceed four hundred (400) square feet. (Amended Ord. 502, 3/2/20) ii. Lots 3 Acres and Larger — On parcels three (3) acres and larger, the maximum ground mounted solar electric ground coverage area must neither exceed the foundation area of the residence (not including the attached garage), nor one thousand two hundred (1,200) square feet, whichever is less. (Amended Ord. 502, 3/2/20) 5) Solar energy systems shall not encroach upon drainage and utility easements. 5) Screening: Solar energy systems shall be screened in accordance with the requirements of Section 12-13-5 of the City Code to the extent possible without affecting their function. P14 6) Certification: The solar energy system shall be listed and labeled by an approved third party testing agency and comply with the requirements of the Minnesota State Building Code. (Amended Ord. 502, 3/2/20) 7) Abandonment: If the solar energy system remains damaged, nonfunctional or inoperative for a continuous period of one year, the system shall be deemed to be abandoned and shall constitute a public nuisance. The owner shall remove the abandoned system at their expense after a demolition permit has been obtained. Removal includes the entire structure including transmission equipment. 8) Building Permit: Permits as required by the Minnesota State Building Code shall be obtained for any solar energy system prior to installation. P15 with a fee as set forth by ordinance. An additional fee as set forth by ordinance may be required for each meeting in excess of two (2), which is necessary because of incomplete information or changes in the petition. The Community Development Director shall refer the application to the Planning and Zoning Commission. (Amended Ord. 8,10-21-1970; amd. 2003 Code) 2. A public hearing shall be held in accordance with section 12-14-8. (Amended Ord. 314 10-4-2005) 3. City Council Action: After a completed application has been submitted, the City Council shall follow the deadline for response as outlined in State Statute 15.99. (Amended Ord. 314, 10-4-2005) 4. Amended Application: An Amended Conditional Use Permit application shall be administered in a manner similar to that required for a new conditional use permit; and the fee shall be as set forth by ordinances. Amended conditional use permits shall include reapplications for permits that have been denied, requests for changes in conditions, and as otherwise described in this title. (Amended Ord. 8, 10-21-1970; amd. 2003 Code) 5. Reapplication After Denial: No application for a Conditional Use Permit shall be resubmitted for a period of one year from the date of said order of denial. 6. Hearing May Be Held: When a Conditional Use Permit may be of general interest to the community or to more than the adjoining owners, the Planning and Zoning Commission may hold a public hearing, and the Conditional Use Permit shall be reviewed with notice of said hearing published at least ten (10) days prior to the hearing. (Amended Ord. 314, 10-4-2005) D. Time Limit On Implementing Conditional Use: If the City Council determines that no significant progress has been made in the first twelve (12) months after the approval of the Conditional Use Permit, the permit will be null and void. (Amended Ord. 8, 10-21-1970) .k12-14-7: VARIANCES: A. Variances Authorized: The City Council, as authorized by Minn. Stat. 462.354 subdivision 2, and Minn. Stat. 462.357, subdivision 6, shall have the authority to hear requests for variances from the requirements of the zoning ordinance and other sections of the City Code where variances are authorized, including restrictions placed on nonconformities. 1 See subsection 1-7-31-1 of this code. (Amended Ord. 407, 6-21-11) B. Review Criteria: 1. Variances shall only be permitted when they are in harmony with the general purposes and intent of the official control and when the variances are consistent with the comprehensive plan. (Amended Ord. 407, 6-21-11) 2. Variances may be granted when the applicant for the variance establishes that there are practical difficulties in complying with the official control. `Practical difficulties," as used in connection with the granting of a variance, means: a. The property owner proposes to use the property in a reasonable manner not permitted by an official control; b. The plight of the landowner is due to circumstances unique to the property not created by the landowner; c. The variance, if granted, will not alter the essential character of the locality; d. Economic considerations alone do not constitute practical difficulties. (Amended Ord. 407, 6-21-11) C. Conditions Authorized: The City Council may impose conditions in the granting of variances. A condition must be directly related to and must bear a rough proportionality to the impact created by the variance. (Amended Ord. 407, 6-21-11) D. Specific Variances Authorized: No variance may be granted that would allow any use that is not allowed in the zoning district in which the subject property is located, except as follows: (Amended Ord. 407, 6-21-11) 1. Variances shall be granted for earth sheltered construction as defined in Minn. Stat. 216C.06, subdivision 14, when in harmony with the official controls. (Amended Ord. 407, 6-21-11) 2. Variances may be granted for the temporary use of a one family dwelling as a two family dwelling. (Amended Ord. 407, 6-21-11) E. Procedure: The procedure for granting variances is as follows: 1. Request For Variance; Fee: A person desiring a variance shall fill out and submit to the Community Development Director a request for variance application form together with a fee asset forth by ordinance'. (Amended Ord. 407, 6-21-11) 2. Planning and Zoning Commission Review: A public hearing shall be 1 See subsection 1-7-3H of this code. P17 held by the Planning and Zoning Commission as provided in City Code 12-14-8. The Planning Commission shall make a recommendation to the City Council based upon the provisions of City Code 12-14-7. (Amended Ord. 407, 6-21-11) 3. City Council Action: The City Council may grant the variance based upon the provisions of City Code 12-14-7. (Amended Ord. 407, 6-21-11) 4. Appeals: The petitioner, if appealing an interpretation of this title by an employee of the city which would require him/her to obtain a variance, shall have the fee refunded if his/her appeal is upheld by the City Council. 5. Emergency Variance Requests: The City Council may waive Planning and Zoning Commission review and take immediate action on emergency variance requests that affect the immediate health, safety and welfare of the citizens of Andover or if time constraints present severe hardship to the applicant. The applicant is required to show the immediacy of the issue and the potential health, safety or welfare threat. The City Council shall determine if the request warrants immediate review. (Amended Ord. 407, 6-21-11) 6. Time Limit On Implementing Variance: If the City Council determines that no significant progress has been made in the first twelve (12) months after the approval of the variance, the variance will be null and void. (Amended Ord. 8, 10-21-1970) 12-14-8: PUBLIC HEARING PROCESS: B. Council Actions Requiring a Public Hearing: The following Council actions shall require a public hearing: 1. Variance 2. Conditional Use Permit (CUP) 3. Rezoning and Text Amendment 4. Sketch Plan 5. Preliminary Plat 6. Comprehensive Plan Amendment 7. Interim Use Permits (Amended Ord. 436, 4-15-2014) C. Public Hearing 1. A public hearing on an application for Council actions in this chapter shall be held by the Planning Commission in accordance with the Minnesota State Statutes. 2. A notice of the time, place, and purpose of the hearing shall be published in the official newspaper of the city ten (10) days prior to the day of the hearing. 3. Property owners and occupants within three hundred fifty feet W Planning Department City Council City of Andover Re: Harold and Linda Haluptzok Variance Request of Solar Energy Systems Chapter 14 12-14-7 Variance A. As stated by the city under 9-14-1 the goal of the city council for Andover to become a more sustainable community by encouraging activities that conserve energy and result in less /no pollution output such as alternative energy sources. In addressing the Purpose and Intent as listed in 9-14-1 of the Andover requirements for solar energy systems we agree and believe that our proposed installation addresses our and the City's interest in installing a solar energy system that has a positive impact on energy production and conservation. B. There are practical difficulties in complying with the official control of our property: - a. We plan to continue living on our property and use it in a reasonable manner with our children and grandchildren now and into the future b. -our home has cedar shakes which would not allow the use of solar panels on the roof without removing most of our roofing. Most contractors would never install solar over cedar shakes. Also, our property includes a workshop and a barn -Our property is 114 acres, with large mature forests and setbacks from Ward Lake Drive of 1777 feet, from County Road 18 of 1700 feet, from nearest neighbor's property line of 588 feet. No part of our solar installation would be visible from roads or neighboring homes. -We have a 7000 square foot home which requires three times the size of solar power generating than in the code -using a ground mounted system removes problem of roof leaking and trying to repair under solar panels -in the future if something changes we can easily remove this system and sell or move it to another location. C. The installation of the proposed solar energy system will not alter the view of our property when traveling on any of the adjacent streets due to the mature forests and large setbacks. - It is practical for us to design a solar system that fits our house and property. The proportionality of passing an ordinance that is for a city lot without taking into account the size of the property will have a direct effect on designing a system for any larger home or diverse property. In addressing the stated requirement for solar installations City Code 12-14-7 which requires 1200 square feet maximum for solar panels we request a variance to allow us up to 3600 square feet of solar panels. -In the winter the amount of sunlight is at a low of 8 hours and 44 minutes and in the summer the sunlight is at a high of 15 hours and 38 minutes. In the winter the sun is much lower in the sky, so the output of the solar panels is reduced even more, probably only producing 1/3 of the summer production. -Connexus Energy and Minnesota State law allows up to 40kWAC of production which they will buy back and use to power other homes in our area. This reduces the amount of gas, oil, coal or nuclear necessary to produce electricity. If every third house in our neighborhood was able to do this, we would reduce our carbon footprint to nearly zero. We feel that we have a responsibility to do our share to help stop global warming and reduce our carbon footprint and this is the best we can do right now. Our variance request will not allow us any use that is not allowed in our zoning district. 1. Does not apply to us. 2. Does not apply to us. E. Please find attached the required variance application and fee. The installation of this system will comply with all "System Standards" as dictated in 9-14-5 except as allowed by a granted variance. Thank you for your consideration of our request for this variance. We would be happy to answer any additional questions or concerns you may have. Thank you for your time, Harold and Linda Haluptzol< 16971 Ward Lake Drive NW Andover, MN 55304 Phone 612-716-2560 There are no overhead, or any other, clearance i is connected to the ondaryofthe EPS. _ duction meter& fused disconnect will be aced together, in a I Wof the main meter. C 2,350' 110 N V �S�sa IN E Lto ity: Connexus Energy 14/7 unescorted keyless access for meters and used AC discconnect 3r(?vjded. _ . iystem is weatherproof, curable and premanently nounted. Equipment LISL Modules: (124) fnkn Solar 40OW DC Oplimleers: 024) SE -P400 InveHer: (3) SEI 1400H415 R (I) SE50WH-US W 2S W., r.toded NYranlya SaYhd, Camunrytbn F•gmM,lnq Aggregate 39.21kW AC Attachment: Ground Screw Mth Pipe Clampxft Customer: Harold Haluptzok 16971 Ward Lake Dr NW, Andover. MN 55304 Phone: (612) 716-2560 Project lnformaticn: 49.6kW DC Ground Mounted Solar PV System #PV -SP -101 (Sileplzn) MstWer. IAV Solar and Nrt,P Lin•: -fp i LAO.OT:" 11830 Cwnty road 135E W11Wt.oNN55389 0201444 -SW teahECmrcnlam ndmmac an MN tdNSolanntdMomccno— 2417 P21 4" J4 . NA -4 W Vertical ; < Thu Apr 12021 South The SunTurfT" Ground Mount Advantage J Easily scalable from kilowatts to MUltimegawatts PV Arrays. J Foundation design solution for every soil condition. J Online configuration tool available to streamline design process. ,/" Components optimized for strength, durability and fast installation. UL 2703 Listed by Intertek. 2 P23 Our augers are suitable for use in weal( to moderate strength soils and areas with a high-water table. Our ground screws are ideal for use in Nord packed earih or soils with large amounts of cobble and gravel. Application Ground Mount Material High grade aluminum, galvanized steel and 304 stainless steel hardware Module Orientation Portrait and Landscape Tilt Angle Range between 10 to 50 degrees Foundation Types Post in concrete, helical each auger, ground screw anchor and ballost Structural Integrity Stamped engineering letters available Certificate UL2703 listed by ETL Warranty 25 yeuts SunModo, Corp. Vancouver, WA., USA � w•ww.sunmodo.com - 360.844.0048 info@sunmodo.com Haluptzok Harold Landscape Layout 54538[ r Front Posts 10 . Ground Mount Project Details PmjectName HaluptlokjHareld zip Code: 55304 ASCE 7-16 CIty.State Andover.MN TOW Watts 5OkW Date 1L01/21 ToW Modules 124 Module Model JInkOSclar,JKM40DM-72HL-V Module Dimmslons Heigh[2.1108.1 mm, Width: 1,x020 mm Deptk40.0 m(79.06'x39.45-x157') Lead Assumptions Structure & Foundation Wind Speed 115mph spm Selection Autamatie84' WNd E@soun: B From Edge HNeht 36' Ground Snow Load SOPsf Foundatlon Type Grmmd Screw Length ofsorew 80' Tot 35° --- Sub Array tLl Details Orientallon Landscape hall Type Hello RaiIHR3W. 168' Layout 4m%sbyllcols N/SSpan On) 80 Front Posts 11 E/W Max Span lin) 84 Sxk ports 11 Area 870'4EWx 158* (NS) Sub Array N2 Details Odmtation Landscape Layout 4rows by 10 wls Front Posts 10 Bxk Posts 10 Sub Array #3 Details Orientation Landwaw Layout 4rowsby10wls Front Posts 10 Badr Posts 10 Rail Type Hello Rail HR30D, 168' NIS Span On) BO EIWMmSPan On) 84 Area 791'(EW)x158'(NS) Rail Type Helio Ra0HR300.168' N/SSpan(ln) 80 E/WMex Span Bn) 04 Area 79V(EW)x158'fNS) SUNMJiD '_ Last edited by Leah Johnson an 11/01/219:03 AM PST 1 of 15 P24 Bill of Materials Part K10423 -WO Grwr.dSt ,,80' A21165-060 H5S2375'ODFrpot Pipe A21165-120 HSS2375'ODRear Pipe A2116&112 1875'OD EAP Pipe Bnrn, t12' A50164-066 HSSEM/TubeBm. 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OIN.FNSIOK A 10=z a +i c su o tor.. b F 00 l r63 ) e) 1 ]6 1 Gt u tv 018 F POST -IN -CONCRETE GROUND MOUNT (PGM) 35 DEG I r r I � I I 35 DEG ) t I o t N) ' T' W m = ) 018 F POST -IN -CONCRETE GROUND MOUNT (PGM) 35 DEG I r r I � I I 35 DEG ) t o t W m = ) F - K BALLAST GROUND MOUNT ] K10300 Wt unazopmzaPlPF (BGM) CU PKIT t POST / VAN1¢Pca Q Nnww.i FW+c2 Im. ommo. as sunnoGo Carp. Sub Array M2 Layout N0i6E YVRJS0•n6RN�EF SOPLYIFV !. T•.9JWM:YG6N01 IW (nMt4VCtNV1 UMC Ii Y1Vw6N15WKCLIIM:EA15:i.lUlf CKYNlr[W3rN'INLVL\YID NIV E(AYFIO JII[l [0tvrpJa:!91 n.[hK[NR Wcu{r. _ 24PIEYSNgE YNpIN MFTCNiS a 1145LL.-.oawLv^. a•w'V .S YICGIItA J/G R iON LSE CrIN %' 11C W �E51r.At IU\E A N[. V uM F{¢LE [ Yif MNrG OL 3A S WIlIIM.a'MS AY EpCG]L`V ON[W[:TLC 1. x:.nL'!!.9[ ]Yf1YgL!S9RCL [rygPA(tV U!NVDtVYµ:E [NYI4ILU1'vNM 41DV YN{VVJrllJpE 4.V I ✓µ1S.µYl'MAY WM uFM FIL P2Xtx.2V1{JPV4V6Y�J 94P]0TIJ pYL' SG6H:}. !0 N4UILU' :ISYMW W KWdIyWCyglNp µI � 51q.C11MC5hV.! Bf /SIL. Ip<SYu^IF.IA511fv1L •irwSUx/lL NAxgrµy ANM1N'uytlrFM bxerTWF4 Nr r.it wy LvexrGtl Ytx [Ne qN'M\V GCIxL3 +tC.obt(L SIp�P...pxuuP.0 i.'. IDH.W.LO N W. YyOf 4f J VM'WIUOVirYxrF.ryMr [aCN[G!U.:l (uM.[U4dC[VltvTl 1: 0. n::1.v3R{CVV •:vnV[gIQN N!N9JN.K4!l. [q CWIYgI. I vlun:gN mac — L`w•DNWNu w+rn YrtYYxYrwYm MNF•NLLIC4 AWILN WfJ4MIlYJV'll W[1•roi[.'NCVW:Ir[r[VIIWN(IrtMM' P1Y�P4NfigWV[VCNR rlMJ1![AIP%J .:.v.nrur.. Is DETAIL A DETAIL 8 DETAIL C E rY PSCE>•le f:Po3Yr[uleearr a wlrosxe6 315 x II[Treh1T! w r[.xY YaKF CVLV4IE[rµy 50 DETAIL D DETAIL E tMONCaJe PSCE>•le f:Po3Yr[uleearr a wlrosxe6 315 ,mrmsro.'rto.a 50 T0L 15 4U 1OARRAY .` E 17 K1p 30 25Plm U<I Kll 60 U K1D l u•PIwSiRFeQ 12 o- 11 K1PNld 2'MWT4 KH 20 u Klpl22-0 1 25•PIMCW"Kit 2 11 Uwlq-0i SPIpCYlpl41 4 13 KSDS i UNn[[FI MWCYmPKtt lO 11 K1O1>9-0 Wp6klrylu{ ] la Mol] 66 H55 TM W. 2 - 1 A 166O92 HSSWSTY W. 10 s E nilw112 21 7YOOF MWB[an U yr > )11165060 HS=S'ODFrWMI 30 6 A2116YIW H V75"O0W PI 10 5 620300001 LS•PPEWDW 6 _ roPOOW P 2.=.SMZ w.Prm 10 J MbP8 W- HFlia RwlHRYq Ur 20 . 1 61M9)031 RaIIFrNC.P !0 1 KIO12N-N0 OVICIF a w j� lt• j SYIIM`(IEYc.m r. 1 I M 0 - Sub Sub Array #2 Span xotta: I. pA'EMS�ENa VIIREoti Nxi MEAUCa11:N xllGW<BlE aNp WYp.EAp,T M EHp pp5i5tEMG 0YISOE MPAY EDGES. RWVMIDI4ENa�GN944YBE Pf➢VCEU �F PESpFL. RAIL SPACING LANDSCAPE: PER PANEL MANUFACTURER 793 34 MAX — 81 84 IN. MAX. ALLOW. SPAN MIN # OF FRONT POSTS =10 MIN # OF BACK POSTS s 10 j N co d Sub Array N2 Foundation Part 1 om: ' WAEIM1VtEJ1.NiVlTtabW:'.pB[t;PMFXS tiNy. v�ls6ascnc.*o rc�ttoe¢�w.wona x•:IM,EQ x:uEo�unu.ury .re covxEvwEE DIMENSIONS A 162302 5 0 - $7 O 51.5 D 107.5 E 06 F EO G 1273 B MAX r { 35 DEG U r i r r m t F�' Q m Z g I I' z N F GROUND SCREW GOUND MOUNT (GSM) I 0 35 DEG a j z D o N Z r _ F ~ 2 K10E2mw GROUNDSC E a0' i0 AUGER GROUND MOUNT • G (AGM) xr✓oI sunweo Gory. uC,, M M CL SubArmy #2 Foundation Part �1 �J,1nxx°rtswxu,Yx rcYmulx °.>v..auHa. �4:¢giWYalflt�l OiPiG 411, VII S�a1h•M' IYPW. Wt6 nT, °WEHSIOMS T 162=5 e �) D 10)5 E 6 x 8° Cr R)5 H ha I i6 J �h 111 AMIN I r, r 35 DEG 018 F POST -IN -CONCRETE GROUND MOUNT (PGM) T r I j 35 DEG � C7 B MAX i E I � I r F K BALLAST GROUND MOUNT aHYmoEo2mnvE (BGM) x YlnleemE ceYn ° WSTYASEYYRiF5aE0. 1 N°iE2 ° nw rN.a4Y1 an iu 9u�MoaYO Cary. Y5):c B MAX .. " "e'tr YI 4� r i r r r 11 M , r T 018 F POST -IN -CONCRETE GROUND MOUNT (PGM) T r I j 35 DEG � C7 B MAX i E I � I r F K BALLAST GROUND MOUNT aHYmoEo2mnvE (BGM) x YlnleemE ceYn ° WSTYASEYYRiF5aE0. 1 N°iE2 ° nw rN.a4Y1 an iu 9u�MoaYO Cary. Y5):c -cr M CL Sub Array #3 Layout nplss NWSSsoMFMIISE YFWIFO '. PNsx VrW I., "C', ITT. IT Dµ9f wYCp 110 IP[r W+yaNrv�R1M1 ",..F Cn W:NI. s A1EiSpVYSYg1H 41k Pt.TES S I,C SF.J%tlW O`-131y1CyµLpNCiCCitCVIQ :..wxvu`rii �iir"wv:.,�WGp°p r-Arnnaa <. N!t[YY\].14CA55pLQ![D(s(CWe/4fN,. rWCrYAVC .V nMF>591 Qt µ' � r •xir4pLp•xura taa:-re,vpYw4/ IHWx;rrilONLf:n91 vµrSxr)tMab, 4WVM] WG✓ 51{ALPIVLSU� W GG.l' Vi•hICJ KVq}IV NP[-EpIL011� tONFgim a ,q Oe VM!*Nrvy6F :C RF xrF:l. btS SCRl F SIr0.C1UQ 5fNlifAG VA1.G n LWO9NN vuxrN:uanrxn x rr.tvv.v.9nv/n LYUfM'V O[iM1 '. xV w.Ma-xi mx,R 1. 4.xID81R431xt5+n.G.r �:ni W4 :. �NV/Cprµt pyWnsy j 6aupoxuGw(Iaiw I [rY�:+.PrprR (}[,u]IIiL.IYrK,N f'.I Sro':.piAl[NLRYN.SFF XN W ' Jusi4RCM40. .a O.N V.xxx CIO CIiL'ppltVtnIJADAY'iN CNJCL4W NIf. wrnx nlx 9 s. GAI' GVJM,I4SW riNLW.N ppRR NG'i' IgL11:N. N'JIiG44N'JUM) WNrI Ppi •. Ppp,+v.�]vaa, F panwn axxpa LVV •tlKal. GN0.ViYOp.R �.p/]N41nRf ..i+gtsP]tu / l _ 16 T' DETAIL A DETAIL 6 DETAIL C p/IX MIIU NIMCICw. ASCE ]M9 FxmUte Ciieryry 0 VMtl Spead 115 s GrWMSrla✓LaM SD pK ]5 &Yl0AKWCY I" K1Wp 2-Mm"L,T,,Wt m xNM4+Rlwi{.u.L51iKs n mpu¢uum 12 -Q- DETAIL D DETAIL E p/IX MIIU NIMCICw. ASCE ]M9 FxmUte Ciieryry 0 VMtl Spead 115 s GrWMSrla✓LaM SD pK ]5 &Yl0AKWCY I" K1Wp 2-Mm"L,T,,Wt m 1, KIOM l 25'PipT5Ok,Wt 12 -Q- 15 KICCM2 ] ZS-MmOQpKO m N K�l 2.5'MMCWrppt ] 13 KN2IP/AS TPIp6CWplp !3 ti KNICONI VMe.sil Mi6C4mp K[ m f] K1G175L02 G.mrtlly L, 1 16 ASOla40a6 N55 TWCO,u 2 . v ASO16a0P2 N15NRTub RIIOT 10 2875.ODD Am U.m . A2Ila&I12 IK .5 1]2• 7 A AIO-0 NZU7S'OOFrpnLPOW 10 6 AM6i120 NSS22)5'ODRw PIptl 20 m'VIce ENDCAP 5 A20]BD001 IOm0lwl 6 _ K Prp120p0K1,O02g0.0rm 20 ] A Obl60-NJu P9JHR200.166' A ] AY0 7-001 RTAE1W0p 60 f KI022s100 Ertl Chirp Wt 60 I. •.•.. I S.OW,ft Cpm. 1` I Sub Array k3 Spans zona: �. DNF161PVS 4@AEDu W.%ulE N4YIMl4 utCWI➢tE AHpENV PESULT W EW Pp5iB 8ElND OV1ENE MRAY EODES. WNLLAFA DMFNvgN$ WYBpNELUEEpIFDESWEo- RAIL SPACING LANDSCAPE: PER PANEL MANUFACTURER 793 ..� 34 MAX 81 - 841N. MAXALLOW. SPAN MIN # OF FRONT POSTS = 10. MIN # OF RACK POSTS =10 suDxwocerp. to co a - Sub Array #3 Foundation Part i DWENSTONS A 162002 5 8 37 O 5LS D 1075 E 36 F 80 O 127.5 I 35 DEG B:MAX _f A z 0 w w Z F GROUND SCREW GOUND MOUNT (GSM) DETAIL F I 35 DEG B MAX x < Q W z F AUGER GROUND MOUNT (AGM) r CV) CL. Sub Array N3 Foundation Part 2 lora: 4kC 11FW'1GS VALW4' YR\I6^epl'e 0.KI.yp6. ,tram GrN we NT. WI v'mmm�,r emr wse vT. 01MENS30M A f4L 0:5 o i> c su O :O),5 ffi G yJ G IV5 N 63 I :6 K W AMIN I 1. 35 DEG B MAX _, j � p i � x xr x 1 Q � m i 1 T = I M I 018 F POST -IN -CONCRETE GROUND MOUNT (PGM) r. U LU 1 35 DEG F i K I 0 . x KIOfEd-0Ot p 0 CIMIP NFO20'MPE u NOTES no. rrnvaE onI aunMoEo Corp. WG \ m 1 F i K I BALLAST GROUND MOUNT . x KIOfEd-0Ot p (BGM) CIMIP NFO20'MPE E POSfEASEVA0.16 DF0. p NOTES no. rrnvaE onI aunMoEo Corp. WG 9 Grounding a 9 n H uu uu uu �u o 0 L 9 O 0 .^ 6 f3 E7 1� s Mid Clamp fault Current Path ■r�.r ® Rail Splice isms IN •� 1 Ground Lugis ►:3 �1 f 5 Jig Note: All SunTurf metal structural components (Horizontal 7�1 P and Vertical Pipe, Pipe Splices, Post Caps, Pipe Clamps, c Braces, Rail and Rail Splices) are electrically bonded together by design during the assembly of the racking. _ I CC � uu uu uu �u o 0 L 9 O 0 .^ 6 f3 E7 1� s Mid Clamp fault Current Path ■r�.r ® Rail Splice isms IN uu uu uu �u o 0 L 9 O 0 .^ 6 Pipe Connection Pipe O O ZI s Mid Clamp fault Current Path ® Rail Solar Panel ® Rail Splice C N y Ground Lugis a Note: All SunTurf metal structural components (Horizontal 2 P and Vertical Pipe, Pipe Splices, Post Caps, Pipe Clamps, c Braces, Rail and Rail Splices) are electrically bonded together by design during the assembly of the racking. _ m= o g CC � 2 O ED R c c � n `oYc k 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV TO: FROM: SUBJECT: DATE Mayor and Councilmembers Jim Dickinson, City Administrator Public Hearing - 2022 Proposed Levy and Budget December 7, 2021 INTRODUCTION The Council has had a number of reviews of the City of Andover 2022 Proposed Budget and continued detailed review of the General Fund budget that is primarily supported by the proposed 2022 Tax Levy. This year the Andover City Council is holding a 2022 Proposed City Budget/Tax Levy public hearing as compared to previous year's hearings titled "Truth -in -Taxation" that had to be conducted in a State Statute prescribed format. This public hearing is intended to give the public the opportunity to comment on the proposed 2022 budget and tax levy. On September 7a', the City Council approved the 2022 Preliminary Levy certification. This approval was the outcome of the numerous budget workshops held by the Council over the summer. The Preliminary 2022 Budget proposed a total property tax levy of $16,107,254: $10,153,370 (63.04%) operational levy, $3,751,062 (23.29%) debt service levy, and $2,202,822 (13.67%) capital/watershed levy. The 2022 Proposed Property Tax Levy is estimated to increase the current City tax rate by 1.15% and when applied to the City's growing taxable market values will generate additional tax revenue to preserve the City's current operations, an enhanced commitment to public safety and provide an infusion of funds into the City mill and overlay program. This is an 8.00% increase in the gross tax levy. The Council has the right to reduce or keep constant this levy until the final certification date of December 28, 2021. DISCUSSION The attachments to this staff report listed below are handouts that will be presented prior to the Public Hearing to provide background information on 2022 Proposed City Budget/Tax Levy progress to date. Attachments: Pg. 3 Pay 2022 Valuation Estimates Pg. 4 - 5 Property Tax Levy — Historical Comparisons Pg. 6 Proposed 2022 City Tax Rate Comparisons Pg. 7 Proposed 2022 Proposed Tax Rate Breakdown Pg. 8 - 9 2022 Proposed Budget Summary by Fund Type Pg. 10 2022 Proposed Budget Summary by Revenue and Expenditure Type Pg. 11 - 17 2022 Proposed Budgets - Fund Summaries Pg. 18 2022 General Fund Revenue & Expense Summary Pg. 19 2022 General Fund — Revenue Comparison Pg. 20 2022 General Fund — Expenditure Comparison Pg. 21 - 22 2022 General Fund — Expenditure Function Graphs Pg. 23 2022 General Fund — Expenditure Budget Summary by Department Pg. 24- 26 Resolution to Approve 2022 Budget and Tax Levy A more detailed presentation will be provided to the Council before the public hearing similar to what has been presented at past budget workshops. ACTION REQUESTED The Council is requested to review the staff report, receive a presentation, open the public hearing, discuss and if there is no need for a continuation hearing approve the resolution adopting the 2022 Proposed City Budget and Tax Levy. submitted, CITY OF ANDOVER Pay 2022 Valuation Estimates Taxable Market Values $4,500,000,000 $4,000,000,000 $3,500,000,000 $3,000,000,000 $2,500,000,000 $2,000,000,000 $1,500,000,000 $1,000,000,000 $500,000,000 $0 Pay 2019 Pay 2020 Pay 2021 Pay 2022 Tax Capacity Values $45,000,000 $40,000,000 $35,000,000 $30,000,000 $25,000,000 $20,000,000 $15,000,000 $10,000,000 $5,000,000 $0 Pay 2019 Pay 2020 Pay 2021 Pay 2022 ESTIMATE Pay 2019 Pay 2020 Pay 2021 Pay 2022 Taxable Tax Taxable Tax Taxable Tax Taxable Tax Market Capacity Market Capacity Market Capacity Market Capacity Value Value Value Value Value Value Value Value Andover Valuation Totals $ 3,127,397,979 $ 32,975,265 $ 3,561,318,700 $ 36,099,539 $ 3,615,408,106 $ 37,366,775 $ 3,885,459,439 $ 40,210,548 Captured Tax Increment (101,030) (114,064) (119,819) (122,976) Fiscal Disparity Contribution (1,269,524) (1,310,143) (1,348,420) (1,414,808) Local Tax Rate Value 31,604,711 34,675,332 35,898,536 387672,764 Fiscal Disparity Distribution 4,966,404 5,355,244 5,475,223 6,037,850 Total Adjusted Values $ 36,571,115 $ 40,030,576 $ 41,373,759 $ 44,710,614 9.46% 3.36% 8.07% Taxable Markel Value Tax Capacity Value % Change % Change Ca Pay 2019 $ 3,127,397,979 Pay 2019 $ 32,975,265 Pay 2020 $ 3,561,318,700 13.87% Pay 2020 $ 36,099,539 9.47% Pay 2021 $ 3,615,408,106 1.52% Pay 2021 $ 37,366,775 3.51% Pay 2022 $ 3,885,459,439 7.47% Pay 2022 $ 40,210,548 7.61% Taxable Market Values $4,500,000,000 $4,000,000,000 $3,500,000,000 $3,000,000,000 $2,500,000,000 $2,000,000,000 $1,500,000,000 $1,000,000,000 $500,000,000 $0 Pay 2019 Pay 2020 Pay 2021 Pay 2022 Tax Capacity Values $45,000,000 $40,000,000 $35,000,000 $30,000,000 $25,000,000 $20,000,000 $15,000,000 $10,000,000 $5,000,000 $0 Pay 2019 Pay 2020 Pay 2021 Pay 2022 City of Andover, Minnesota Property Tax Levy Less Fiscal Disparities Distribution Corn ad Certified Certified Certified Certified Requested Local Tax Rate Levy _E_10 202 008 Change E 11,378,039 $ 12,502,694 2017 2018 2019 2020 2021 2022 %of Total $ 151,0]8) $ % Generzl It Other Operational Levies $ 10,424,617 $ 11,194,050 _LI2,398,495 _L12,1105,043 E 13.953,343 Adjusted Tax Capacity Value" (1) 26,703,97130,007,904 31,004.711 34,675,332 General Operations $ 8,254,354 $ 8,543,256 $ 8,845,970 $ 9,194,032 $ 9,396,493 $ 9,868,370 61.27% $ 471,877 5.02% Community Center Operations - - - - 155,000 155,000 0.%% $ - 0.00% Pa*s RepairlReptecement Items 90,000 100,000 100,000 120,000 120,000 130,000 0.61% $ 10,000 8.33% Total General & Other Operational Levies 8,344,354 8,643,256 8,945,970 9,314,032 9,671,493 10,153,370 63.04% $ 481,877 4.98% Debt Sic to Ley es 2010A G.O. Open Space Referendum Bonds 187,840 188,T77 183,989 104,199 151,078 - 2012CTaxable G.O.Abatement Bonds 974,418 972,055 959,378 976,780 973,263 974,628 2014A G.O. Equipment Cenficate 295,260 294,945 294,525 - - - 2016A G.O. Equipment Certificate 152,529 143,310 142,837 143,373 - - 2018AG.O.Cap lmprovPlan Bonds - - 525,000 433.603 456,344 617,519 2019A G.O. Abatement Bonds - - - 1,001,090 976,966 1,014,065 2020 G.O. Equipment Certificate - - - 350,000 406,224 374,850 2021A G.O. Equipment Certificate - - - - 170,000 170,000 2021A G.O. Street Reconstruction Bonds 600,000 Total Not Service Levies 1,610,047 1,599,087 2,115,729 3,089,045 3,133,875 3,751,062 23.29% $ 617,187 19.69% Other Levies Capital Projects Levy Capital EquipmendPrujecl 250,000 275,000 275,000 275,000 250,000 275,000 1.71% $ 26,000 10.00% Capital Equipment Purchases 500,000 525,000 - - - - 0.00% $ - #DIV101 Facility Maintenance Reserve - 50,000 355,000 355,000 355,000 355,000 2.20% $ - 0.00% Palls Projects 15,000 15,000 15,000 15,000 15,000 15,000 0.09% $ - 0.00% Road &Bridge 1,116,079 1,169,014 1,254,788 1,287,469 1,342,456 1,409,579 8.75% $ 67,123 5.00% Pedestrian Trail Maintenance 63,075 100,000 102,000 104,04D 106,121 108,243 0.67% $ 2,123 2.00% Lower Rum River Watershed 40,000 40,000 40,000 40,000 40,000 40,000 0.25% $ 0.00% Total Other Levies 1,984,154 2,174,014 2,041,788 2,076,509 2,108,577 2,202,822 13.67% $ 94,245 4.47% Gross City Levy 11,938,555 12,416,357 13,103,487 14,479,506 14,913,945 18,107,254 100.00% $ 1,1931310 8.00% Less Fiscal Disparities Distribution 1,736,547 1,802,963 1,725,440 1,896,892 1,957,824 2.153,911 Local Tax Rate Levy _E_10 202 008 _L_10 E 11,378,039 $ 12,502,694 $ 12,956,121 $ 13,953,343 Less Lew Based on Market Value $ (187,840) E 188,7]7) E 183,909) $ (184,199) $ 151,0]8) E Net Local Tax Rate Levy $ 10,014,168 $ 10,424,617 $ 11,194,050 _LI2,398,495 _L12,1105,043 E 13.953,343 Adjusted Tax Capacity Value" (1) 26,703,97130,007,904 31,004.711 34,675,332 35,898,536 38,672,764 Na 12.37% 5.32% 9.72% 3.53% 7.73% Chance %%Chance Tax Capacity Rate"' 37.501% 34.740% 35.419% 35.756% 35,670% 36.081% 0.410% 1.150% Tax Capacity Rete W/O LRRWSD 37.374% 34.627% 35.310% 35.856% 35.574% 35.993% Tax Capacity Rate Win LRRWSD 37.738% 34.952% 35.621% 35.942% 35.845% 36.243% Voter Approved Ref -MV 0.00681% 0.00681% 0.00572% 0.00526% 0.00418% "Adjusted Value deforested by adjusfin9 for Pfsca101spari ies and Tax Increment estimates "'Mended rate due to the CffyofAndoverlevyfng for Lower Rue Ryver Welershed OisMct (1) Adjusted Tax Capacity Value is subject to change. T City of Andover Gross Tax Levy $17,000,000 16,107,254 $15,000,000 $14,913,945 14,479,586 $13,000,000 $13,103,487 $12,416,357 $11,000,000 $11,938,555 $10,843,925 $11,143,925 $9,000,000 $7,000,000 $5,000,000 2014 2015 2016 2017 2018 2019 2020 2021 2022 EE MUNICIPALITIES WITHIN ANOKA COUNTY Proposed 2022 City Tax Rate Comparison Municipalities Only Hilltop 101.914 Columbia Heights 67.222 Lexington 54.5 L7 Centerville 51.475 St. Francis 50.846 Circle Pines50.247 Columbus 48.282 Spring Lake Park 47.886 Fridley 45.061 6 N Bethel 43.627 3 0 Ramsey 42.783 ULino Lakes 40.282 Coon Rapids 8.461 East Bethel 3 .369 Andover 35.993 Blaine 35. 18 Anoka 34.4111 Oak Grove 24.439 Linwood 23.090 Nowthen 22.202 Ham Lake 21.453 0.000 20.000 40.000 60.000 80.000 100.000 120.000 TAX RATE CITY OF ANDOVER 2022 Proposed Tax Rate Breakdown Other School District 3.721% County 17.718% 35.221% 0ii 0 City 43.340% PERCENTAGES ARE PROPORTIONAL TO REFLECT 100% RATHER THAN ACTUAL AMOUNT OF 83.049%. Does not include voter approved referendum levy based on market value. General Fund Revenues: $12,699,145 Expenditures: $13,382,093 General Government OD Public Safety Public Works Fund Definitions CITY OF ANDOVER 2022 Budget Summary By Fund Type City of Andover- Budgeted Funds Total Revenues: $44,075,223 Total Expenditures: $41,929,415 I Governmental Funds I Special Revenue Funds Revenues: $4,117,588 Expenditures: $3,758,769 -EDA -Drainage & Mapping -LRRWMO -Forestry -ROW Mgmt / Utility -Construction Seal Coating -Community Center -CDBG -Charitable Gambling Debt Service Funds Revenues: $4,659,505 Expenditures: $3,617,529 Improvement Bonds State Aid Bonds Equip Certificates Referendum Bonds Abatement Bonds Capital Projects Funds Revenues: $15,021,155 Expenditures: $13,294,520 m Sewer er Trunk 1 & Bridge & Transportation Equip Reserve Increment Dedication Projects Notes / Bond Projects Proprietary Funds Enterprise Funds Revenues: $6,140,115 Expenditures: $6,264,073 Sewer Fund Water Fund Storm Sewer Fund Internal Service Funds Revenues: $1,437,715 Expenditures: $1,612,431 Equipment / Maint. Management General Fund - accounts for the revenues and expenditures necessary to carry out basic governmental activities of the City such as general government, public safety, public works, and other. Special Revenue Funds - accounts for revenue sources that finance particular functions and projects. Debt Service Funds - accounts for the accumulation of resources for, and the payment of general long-term debt. Capital Projects Funds - accounts for the acquisition or construction of major capital facilities financed mainly with governmental fund sources, general obligation debt, special assessments, and other. Enterprise Funds - accounts for activities that consist of rendering services or providing goods to the public for which a fee or charge is collected. Internal Service Funds - accounts for goods and services that are provided to other City departments, or to other governments, on a cost reimbursement basis. CITY OF ANDOVER 2022 Budget Summary Revenues and Expenditures by Fund Type Other Financing Sources cD Operating Transfers In Bond Proceeds Total Other Financing Sources: Total Revenues and Other Sources: Total Available: Expenditures Personal Services Supplies and Materials Purchased Services Other Services and Charges Capital Outlay Debt Service Total Operating Expenditures: Other Uses Operating Transfers Out Total Other Uses: Total Expenditures and Other Uses: Fund Balance/Net Assets, December 31 Change in Fund Balance Internal Service Total $ 858,021 $ 51,691,966 - 16,185,254 - 100,000 - 1,503,900 - 535,500 - 3,937,941 1,433,715 9,271,063 - 50,500 4,000 261,700 - 360,776 13,000 - 1,500,300 1,437,715 33,719,934 197,081 150,000 Special Debt Capital - 2,395,289 General Revenue Service Projects Enterprise Fund Balance/Net Assets, January 1 $ 8,860,491 $ 1,556,227 $ 2,562,140 $ 27,824,381 $ 10,030,706 Revenues 10,355,289 12,699,145 4,117,588 4,659,505 General Property Taxes 10,076,370 195,000 3,751,062 2,162,822 - Tax Increments - - - 100,000 Special Assessments - - - 1,503,900 - Licenses and Permits 535,500 - - - - Intergovernmental 817,284 1,790,888 - 1,329,769 - Charges for Services 799,110 1,170,500 - - 5,867,738 Fines 50,500 - - - - Investment Income 75,000 5,200 - 115,000 62,500 User Charges - - - 360,776 - Meters - - - - 13,000 Miscellaneous 148,300 806,000 - 502,000 44,000 Total Revenues: 123502,064 3,967,588 3,7513062 6,074,267 5,9873238 Other Financing Sources cD Operating Transfers In Bond Proceeds Total Other Financing Sources: Total Revenues and Other Sources: Total Available: Expenditures Personal Services Supplies and Materials Purchased Services Other Services and Charges Capital Outlay Debt Service Total Operating Expenditures: Other Uses Operating Transfers Out Total Other Uses: Total Expenditures and Other Uses: Fund Balance/Net Assets, December 31 Change in Fund Balance Internal Service Total $ 858,021 $ 51,691,966 - 16,185,254 - 100,000 - 1,503,900 - 535,500 - 3,937,941 1,433,715 9,271,063 - 50,500 4,000 261,700 - 360,776 13,000 - 1,500,300 1,437,715 33,719,934 197,081 150,000 908,443 986,888 152,877 - 2,395,289 - - 7,960,000 7,960,000 197,081 150,000 908,443 8,946,888 152,877 10,355,289 12,699,145 4,117,588 4,659,505 15,021,155 6,1403115 1,4373715 44,075,223 21,559,636 5,673,815 7,221,645 42,845,536 16,170,821 2,295,736 95,767,189 5,928,069 825,896 - - 1,319,670 612,590 8,686,225 825,015 118,820 - - 506,800 415,700 1,866,335 4,577,595 1,818,620 - 155,000 - - 6,551,215 1,756,414 658,033 - 9,889,500 2,577,222 584,141 15,465,310 145,000 30,000 - 2,534,000 110,000 - 2,819,000 - 3,361,541 - 784,500 4,146,041 13,232,093 3,451,369 3,361,541 12,578,500 5,298,192 1,612,431 39,534,126 150,000 307,400 255,988 716,020 965,881 2,395,289 150,000 307,400 255,988 716,020 965,881 2,395,289 13,382,093 3,758,769 3,617,529 13,294,520 6,264,073 1,612,431 41,929,415 $ 8,177,543 $ 1,915,046 $ 3,604,116 $ 29,551,016 $ 9,906,748 $ 683,305 $ 53,837,774 $ (662,948) $ 358,819 $ 1,041,976 $ 1,726,635 $ (123,958) $ (174,716) $ 2,145,808 -7.71% 23.06% 40.67% 6.21% -1.24% -20.36% 4.15% CITY OF ANDOVER 2022 Budget Summary Revenues and Expenditures - All Funds Actual Budget Estimate Budget 2020 2021 2021 2022 Fund Balance/Net Assets, January l $ 63,076,117 $ 54,359,351 $ 54,359,351 $ 51,691,966 Revenues General Property Taxes 14,451,737 14,995,648 14,995,648 16,185,254 Tax Increments 100,979 85,000 100,000 100,000 Special Assessments 631,999 671,000 751,858 1,503,900 Licenses and Permits 892,279 436,450 752,050 535,500 Intergovemmenlal 6,211,801 1,027,370 2,800,582 3,937,941 Charges for Services 9,086,019 8,738,067 9,291,119 9,271,063 Fines 47,630 50,250 51,200 50,500 Investment income 1,107,296 262,700 285,606 261,700 User Charges 1,642,795 266,610 825,327 360,776 Meters 36,948 13,000 13,000 13,000 Miscellaneous 1,549,618 1,181,850 1,328,300 1,500,300 Total Revenues: 35,759,101 27,727,945 31,194,690 33,719,934 Other Financing Sources Operating Transfers In 2,588,550 1,678,721 1,677,827 2,395,289 Band Proceeds 1,310,000 - - 7,960,000 —� Proceeds from Sale of Property 3,000 CD Total Other Financing Sources: 3,997,031 1,678,721 1,677,827 10,355,289 Total Revenues and Other Sources: 39,756,132 29,406,666 32,872,517 44,075,223 Total Available: 102,832,249 83,766,017 87,231,868 95,767,189 Expenditures Personal Services 7,548,381 8,159,598 8,113,383 8,686,225 Supplies and Materials 1,344,762 1,814,298 1,834,905 1,866,335 Purchased Services 6,747,381 4,778,525 6,047,706 6,551,215 Other Services and Charges 7,691,574 9,429,991 9,476,756 15,465,310 Capital Outlay 18,635,429 3,412,000 3,676,294 2,819,000 Debt Service 3,916,821 3,963,531 3,963,031 4,146,041 Total Operating Expenditures: 45,884,348 31,557,943 33,112,075 39,534,126 Other Uses Operating Transfers Out 2,588,550 1,676,721 2,427,627 2,395,289 Total Other Uses: 2,588,550 1,678,721 2,427,827 2,395,289 Total Expenditures and Other Uses: 48,472,698 33,236,664 35,539,902 41,929,415 Fund Balance/Net Assets, December 31 $ 54,359,351 $ 50,529,353 $ 51,691,966 $ 53,837,774 Change in Fund Balance $ (8,716,766) $ (3,829,998) $ (2,667,385) $ 2,145,808 -13.82% -7.05% -4.91% 4.15% Fund Balance/Net Assets, January 1 Revenues & Other Sources General Special Revenue Debt Service Capital Projects Enterprise Internal Service Total Revenues & Other Sources: Total Available: Expenditures & Other Uses General —` Special Revenue Debt Service Capital Projects Enterprise Internal Service Total Expenditures & Other Uses: Fund Balance/Net Assets, December 31 Change in Fund Balance CITY OF ANDOVER 2022 Budget Summary Revenues and Expenditures Fund Summary Actual 2020 $ 63,076,117 12,686,945 3,951,611 3,609,092 11,666,711 6,534,960 1,306,813 39,756,132 102,832,249 12,395,878 4,126,568 2,945,320 22,168,768 5,483,259 1,353,105 48,472,898 $ 54,359,351 $ (8,716,766) -13.82% Adopted 2021 $ 54,359,351 12,072,732 2,184,700 3,685,482 4,325,340 5,814,578 1,323,834 29,406,666 83,766,017 12,602,136 2,226,428 3,224,612 6,637,309 7,092,269 1,453,910 33,236,664 $ 50,529,353 $ (3,829,998) -7.05% Estimate 2021 $ 54,359,351 12,608,416 3,894,188 3,685,482 5,049,818 6,288,331 1,346,282 32,872,517 87,231,868 13,402,443 3,345,878 3,223,218 6,891,486 7,172,769 1,504,108 35,539,902 $ 51,691,966 $ (2,667,385) -4.91% Budget 2022 $ 51,691,966 12,699,145 4,117,588 4,659,505 15,021,155 6,140,115 1,437,715 44,075,223 767,189 13,382,093 3,758,769 3,617,529 13,294,520 6,264,073 1,612,431 41,929,415 $ 53,837,774 $ 2,145,808 4.15% City of Andover 2022 Budget - General Fund Statement of Revenues, Expenditures and Changes in Fund Balance Fund Balance, January 1 Revenues General Property Taxes Licenses and Permits Intergovernmental Charges for Services Fines Investment Income Miscellaneous Revenue Total Revenues: Other Sources Transfersln Total Revenues and Other Sources: Total Available: Expenditures Personal Services Supplies and Materials Purchased Services Other Services and Charges Capital Outlay Total Expenditures: Other Uses Transfers Out $ 9,363,451 $ 9,654,518 $ 9,654,518 $ 8,860,491 9,303,234 892,279 861,179 1,070,899 47,630 148,974 172,062 12,496,257 9,594,493 436,450 813,298 752,360 50,250 75,000 138,850 11,860,701 9,594,493 752,050 887,216 887,159 51,200 75,000 149,267 12,396,385 10,076,370 535,500 817,284 799,110 50,500 75,000 148,300 12,502,064 190,688 212,031 212,031 197,081 12,686,945 22,050,396 5,225,070 619,763 4,027,267 1,350,906 172.872 11,395,878 1,000,000 12,072,732 21,727,250 5,573,315 803,978 4,475,905 1,613,938 135.000 12,602,136 12,608,416 22,262,934 5,548,600 842,887 4,470,836 1,595,003 195.117 12,652,443 12,699,145 21,559,636 5,928,069 825,015 4,577,595 1,756,414 145.000 13,232,093 750,000 150,000 Total Expenditures and Other Uses: 12,395,878 12,602,136 13,402,443 13,382,093 Fund Balance, December 31 Change in Fund Balance $ 9,654,518 $ 291,067 3% $ 9,125,114 $ 8,860,491 $ (529,404) $ (794,027) -5% -8% $ 8,177,543 $ (682,948) -8% Actual Adopted', Estimafe Adopted: Desai tioh 2020 2021: 2021:: 2022 Fund Balance, January 1 Revenues General Property Taxes Licenses and Permits Intergovernmental Charges for Services Fines Investment Income Miscellaneous Revenue Total Revenues: Other Sources Transfersln Total Revenues and Other Sources: Total Available: Expenditures Personal Services Supplies and Materials Purchased Services Other Services and Charges Capital Outlay Total Expenditures: Other Uses Transfers Out $ 9,363,451 $ 9,654,518 $ 9,654,518 $ 8,860,491 9,303,234 892,279 861,179 1,070,899 47,630 148,974 172,062 12,496,257 9,594,493 436,450 813,298 752,360 50,250 75,000 138,850 11,860,701 9,594,493 752,050 887,216 887,159 51,200 75,000 149,267 12,396,385 10,076,370 535,500 817,284 799,110 50,500 75,000 148,300 12,502,064 190,688 212,031 212,031 197,081 12,686,945 22,050,396 5,225,070 619,763 4,027,267 1,350,906 172.872 11,395,878 1,000,000 12,072,732 21,727,250 5,573,315 803,978 4,475,905 1,613,938 135.000 12,602,136 12,608,416 22,262,934 5,548,600 842,887 4,470,836 1,595,003 195.117 12,652,443 12,699,145 21,559,636 5,928,069 825,015 4,577,595 1,756,414 145.000 13,232,093 750,000 150,000 Total Expenditures and Other Uses: 12,395,878 12,602,136 13,402,443 13,382,093 Fund Balance, December 31 Change in Fund Balance $ 9,654,518 $ 291,067 3% $ 9,125,114 $ 8,860,491 $ (529,404) $ (794,027) -5% -8% $ 8,177,543 $ (682,948) -8% J w City of Andover Special Revenue Funds 2022 Budget Summary - All Special Revenue Funds Statement of Revenues, Expenditures and Changes in Fund Balance Fund Balance, January 1 Revenues General Property Taxes Intergovernmental Charges for Services Investment Income Miscellaneous Total Revenues: Other Sources Transfers In Total Revenues and Other Sources: Total Available: Expenditures Personal Services Supplies and Materials Purchased Services Other Services and Charges Capital Outlay Total Expenditures: Other Uses Transfers Out Total Expenditures and Other Uses: $ 1,182,874 $ 1,007,917 $ 1,007,917 $ 1,556,227 39,963 2,465,736 601,124 22,350 822,438 3,951,611 3,951,611 5,134,485 664,892 114,832 2,720,114 144,851 176,179 3,820,868 305,700 4,126,568 195,000 37,500 1,139,000 5,200 808,000 2,184,700 2,184,700 3,192,617 794,841 130,820 302,620 693,147 1,921,428 305,000 2,226,428 195,000 1,753,388 1,087,500 5,300 853,000 3,894,188 3,894,188 4,902,105 778,341 113,470 1,576,870 572,197 3,040,878 305,000 3,345,878 195,000 1,790,888 1,170,500 5,200 806,000 3,967,588 150,000 4,117,588 5,673,815 825,896 118,820 1,818,620 658,033 30,000 3,451,369 307,400 3,758,769 Fund Balance, December 31 $ 1,007,917 Actual. Addpted, Estimate, Adoptbar. De'6 ri'tion 2020x 2021:: 202,,1 2022 . Fund Balance, January 1 Revenues General Property Taxes Intergovernmental Charges for Services Investment Income Miscellaneous Total Revenues: Other Sources Transfers In Total Revenues and Other Sources: Total Available: Expenditures Personal Services Supplies and Materials Purchased Services Other Services and Charges Capital Outlay Total Expenditures: Other Uses Transfers Out Total Expenditures and Other Uses: $ 1,182,874 $ 1,007,917 $ 1,007,917 $ 1,556,227 39,963 2,465,736 601,124 22,350 822,438 3,951,611 3,951,611 5,134,485 664,892 114,832 2,720,114 144,851 176,179 3,820,868 305,700 4,126,568 195,000 37,500 1,139,000 5,200 808,000 2,184,700 2,184,700 3,192,617 794,841 130,820 302,620 693,147 1,921,428 305,000 2,226,428 195,000 1,753,388 1,087,500 5,300 853,000 3,894,188 3,894,188 4,902,105 778,341 113,470 1,576,870 572,197 3,040,878 305,000 3,345,878 195,000 1,790,888 1,170,500 5,200 806,000 3,967,588 150,000 4,117,588 5,673,815 825,896 118,820 1,818,620 658,033 30,000 3,451,369 307,400 3,758,769 Fund Balance, December 31 $ 1,007,917 $ 966,189 $ 1,556,227 $ 1,915,046 Change in Fund Balance $ (174,957) $ (41,728) $ 548,310 $ 358,819 -15% -4% 54% 23% City of Andover Debt Service Funds 2022 Budget Summary - All Debt Service Funds Statement of Revenues, Expenditures and Changes in Fund Balance Fund Balance, January 1 Revenues General Property Taxes Investment Income Total Revenues: Other Sources Operating Transfers In Total Revenues and Other Sources: .p Total Available: Expenditures Debt Service Principal Interest Other Total Expenditures: Other Uses Operating Transfers Out Total Expenditures and Other Uses: Fund Balance, December 31 Change in Fund Balance $ 1,436,104 $ 2,099,876 $ 2,099,876 $ 2,562,140 3,076,966 11,680 3,088,646 520,446 3,609,092 5,045,196 1,561,000 1,290,844 5,000 2,856,844 88,476 2,945,320 $ 2,099,876 $ 663,772 46% 3,137,578 3,137,578 547,904 3,685,482 5,785,358 1,899,000 1,278,031 6,000 3,183,031 41,581 3,224,612 $ 2,560,746 $ 460,870 22% 3,137, 578 3,137,578 547,904 3,685,482 5,785,358 1,899,000 1,278,031 5,500 3,182,531 40,687 3,223,218 $ 2,562,140 $ 462,264 22% 3,751,062 3,751,062 908,443 4,659,505 7,221,645 2,110,000 1,246,741 4,800 3,361,541 255,988 3,617,529 $ 3,604,116 $ 1,041,976 41% Actual: Adopted. Estimate:' Adopted:. Desai tion 2020 2021" 2021 2022 ' Fund Balance, January 1 Revenues General Property Taxes Investment Income Total Revenues: Other Sources Operating Transfers In Total Revenues and Other Sources: .p Total Available: Expenditures Debt Service Principal Interest Other Total Expenditures: Other Uses Operating Transfers Out Total Expenditures and Other Uses: Fund Balance, December 31 Change in Fund Balance $ 1,436,104 $ 2,099,876 $ 2,099,876 $ 2,562,140 3,076,966 11,680 3,088,646 520,446 3,609,092 5,045,196 1,561,000 1,290,844 5,000 2,856,844 88,476 2,945,320 $ 2,099,876 $ 663,772 46% 3,137,578 3,137,578 547,904 3,685,482 5,785,358 1,899,000 1,278,031 6,000 3,183,031 41,581 3,224,612 $ 2,560,746 $ 460,870 22% 3,137, 578 3,137,578 547,904 3,685,482 5,785,358 1,899,000 1,278,031 5,500 3,182,531 40,687 3,223,218 $ 2,562,140 $ 462,264 22% 3,751,062 3,751,062 908,443 4,659,505 7,221,645 2,110,000 1,246,741 4,800 3,361,541 255,988 3,617,529 $ 3,604,116 $ 1,041,976 41% City of Andover Capital Projects Funds 2022 Budget Summary - All Capital Projects Funds Statement of Revenues, Expenditures and Changes in Fund Balance Fund Balance, January 1 $ 40,168,106 Actual Adopted' Estimate, ' �. Adopted'r 4,269,000 Descriptor: 2020 2021; 2021: 2022;_ Fund Balance, January 1 $ 40,168,106 $ 29,666,049 $ 29,666,049 $ 27,824,381 Revenues 4,269,000 9,889,500 18,286,378 2,067,000 General Property Taxes 2,031,574 2,068,577 2,068,577 2,162,822 Tax Increments 100,979 85,000 100,000 100,000 Special Assessments 631,999 671,000 751,858 1,503,900 Intergovernmental 2,884,886 176,572 159,978 1,329,769 Investment Income 730,667 117,500 136,306 115,000 User Charges 1,642,795 266,610 825,327 360,776 Miscellaneous 417,654 170,000 238,585 502,000 Total Revenues: 8,440,554 3,555,259 4,280,631 6,074,267 Other Sources Transfers In 1,817,676 770,081 769,187 986,888 Bond Proceeds 1,310,000 - - 7,960,000 rn Bond Premium 95,481 - Proceeds from Sale of Capital Assets 3,000 - - - Total Other Sources: 3,226,157 770,081 769,187 8,946,888 Total Revenues and Other Sources: 11,666,711 4,325,340 5,049,818 15,021,155 Total Available: 51,834,817 33,991,389 34,715,867 42,845,536 Expenditures Purchased Services Other Services and Charges Capital Outlay Debt Service - Principal Retirement Total Expenditures: Other Uses Operating Transfers Out Total Expenditures and Other Uses: Fund Balance, December 31 - - - 155,000 3,374,026 4,219,000 4,269,000 9,889,500 18,286,378 2,067,000 2,271,177 2,534,000 273,478 - - - 21,933,882 6,286,000 6,540,177 12,578,500 234,886 351,309 351,309 716,020 22,168,768 6,637,309 6,891,486 13,294,520 $ 29,666,049 $ 27,354,080 Change in Fund Balance $ (10,502,057) $ (2,311,969) -26% -8% $ 27,824,381 $ (1,841,668) -6% $ 29,551,016 $ 1,726,635 6% R City of Andover Enterprise Funds 2022 Budget Summary - All Enterprise Funds Statement of Revenues, Expenditures and Changes in Fund Net Assets Unrestricted Net Assets, January 1 Revenues Charges for Services Interest Meters Miscellaneous Total Revenues: Other Sources Transfers In Total Revenues and Other Sources: Total Available: Expenditures Personal Services Supplies and Materials Other Services and Charges Capital Outlay Debt Service Total Expenditures: Other Uses Transfers Out Total Expenditures and Other Uses: Unrestricted Net Assets, December 31 $ 9,863,443 6,196,717 176,420 36,948 65,135 6,475,220 $ 10,915,144 $ 10,915,144 $ 10,030,706 5,526,873 61,000 13,000 65,000 5,665,873 5,996,626 65,000 13,000 65,000 6,139,626 5,867,738 62,500 13,000 44,000 5,987,238 59,740 148,705 148,705 152,877 6,534,960 16,398,403 1,127,866 274,316 2,335,090 786,499 4,523,771 5,814,578 16,729,722 1,241,223 462,800 2,416,915 1,210,000 780,500 6,111,438 6,288,331 17,203,475 1,241,223 498,300 2,461,915 1,210,000 780,500 6,191,938 6,140,115 16,170,821 1,319,670 506,800 2,577,222 110,000 784,500 5,298,192 959,488 980,831 980,831 965,881 5,483,259 $ 10,915,144 Change in Unrestricted Net Assets $ 1,051,701 11% 7,092,269 $ 9,637,453 $ (1,277,691) -12% 7,172,769 $ 10,030,706 $ (884,438) -8% 6,264,073 $ 9,906,748 $ (123,958) -1% Actual;Ad'opted' Estimate: Adopted' •-<- Descri 'tion 2020 2021 12I21 2022 Unrestricted Net Assets, January 1 Revenues Charges for Services Interest Meters Miscellaneous Total Revenues: Other Sources Transfers In Total Revenues and Other Sources: Total Available: Expenditures Personal Services Supplies and Materials Other Services and Charges Capital Outlay Debt Service Total Expenditures: Other Uses Transfers Out Total Expenditures and Other Uses: Unrestricted Net Assets, December 31 $ 9,863,443 6,196,717 176,420 36,948 65,135 6,475,220 $ 10,915,144 $ 10,915,144 $ 10,030,706 5,526,873 61,000 13,000 65,000 5,665,873 5,996,626 65,000 13,000 65,000 6,139,626 5,867,738 62,500 13,000 44,000 5,987,238 59,740 148,705 148,705 152,877 6,534,960 16,398,403 1,127,866 274,316 2,335,090 786,499 4,523,771 5,814,578 16,729,722 1,241,223 462,800 2,416,915 1,210,000 780,500 6,111,438 6,288,331 17,203,475 1,241,223 498,300 2,461,915 1,210,000 780,500 6,191,938 6,140,115 16,170,821 1,319,670 506,800 2,577,222 110,000 784,500 5,298,192 959,488 980,831 980,831 965,881 5,483,259 $ 10,915,144 Change in Unrestricted Net Assets $ 1,051,701 11% 7,092,269 $ 9,637,453 $ (1,277,691) -12% 7,172,769 $ 10,030,706 $ (884,438) -8% 6,264,073 $ 9,906,748 $ (123,958) -1% J J City of Andover Internal Service Funds 2022 Budget Summary - All Internal Service Funds Statement of Revenues, Expenditures and Changes in Unrestricted Net Assets Unrestricted Net Assets, January 1 Revenues Charges for Services Interest Income Miscellaneous Total Revenues: Other Sources Transfers In Total Revenues and Other Sources: Total Available: Expenditures and Other Uses Personal Services Supplies and Materials Other Services and Charges Total Expenditures: $ 1,062,139 $ 1,015,847 $ 1,015,847 $ 858,021 1,217,279 17,205 72,329 1,306,813 1,306,813 2,368,952 530,553 335,851 486,701 1,353,105 Other Uses Transfers Out - Total Expenditures and Other Uses: 1,353,105 Unrestricted Net Assets, December 31 $ 1,015,847 Change in Unrestricted Net Assets $ (46,292) -4% 1,319,834 4,000 1,323,834 1,323,834 2,339,681 550,219 416,700 486,991 1,453,910 1,453,910 $ 885,771 $ (130,076) -13% 1,319,834 4,000 22,448 1,346,282 1,346,282 2,362,129 545,219 380,248 578,641 1,504,108 1,504,108 $ 858,021 $ (157,826) -16% 1,433,715 4,000 1,437,715 1,437,715 2,295,736 612,590 415,700 584,141 1,612,431 1,612,431 $ 683,305 $ (174,716) -20% Actual I " Adopted Estimate. -' ' Adopted' OeScri tion 2020 2021 L lx,,2&l ,2022 Unrestricted Net Assets, January 1 Revenues Charges for Services Interest Income Miscellaneous Total Revenues: Other Sources Transfers In Total Revenues and Other Sources: Total Available: Expenditures and Other Uses Personal Services Supplies and Materials Other Services and Charges Total Expenditures: $ 1,062,139 $ 1,015,847 $ 1,015,847 $ 858,021 1,217,279 17,205 72,329 1,306,813 1,306,813 2,368,952 530,553 335,851 486,701 1,353,105 Other Uses Transfers Out - Total Expenditures and Other Uses: 1,353,105 Unrestricted Net Assets, December 31 $ 1,015,847 Change in Unrestricted Net Assets $ (46,292) -4% 1,319,834 4,000 1,323,834 1,323,834 2,339,681 550,219 416,700 486,991 1,453,910 1,453,910 $ 885,771 $ (130,076) -13% 1,319,834 4,000 22,448 1,346,282 1,346,282 2,362,129 545,219 380,248 578,641 1,504,108 1,504,108 $ 858,021 $ (157,826) -16% 1,433,715 4,000 1,437,715 1,437,715 2,295,736 612,590 415,700 584,141 1,612,431 1,612,431 $ 683,305 $ (174,716) -20% CITY OF ANDOVER General Fund Revenue & Expense Summary EXPENDITURES Actual Actual Actual Actual Actual Budget* Estimate Requested Budget Change (') General Government 2016 2017 2018 2019 2020 2021 2021 2022 $ % REVENUES Property Taxes $ 8,217,768 $ 8,332,634 $ 8,634,130 $ 8,864,720 $ 9,303,235 $ 9,594,493 $ 9,594,493 $ 10,076,370 481,877 5.02% License and Permits 625,906 546,378 562,525 855,831 892,277 436,450 752,050 535,500 99,050 22.69% Intergovernmental Revenues 733,953 793,932 829,861 822,129 861,178 813,298 887,216 817,284 3,986 0.49% Charges for Current Services 912,220 843,022 888,944 1,133,160 1,070,788 752,360 887,159 799,110 46,750 6.21% Fines and Forfeits 88,600 75,287 73,719 62,349 47,630 50,250 51,200 50,500 250 0.50% Interest Income 68,380 64,751 107,560 208,957 148,974 75,000 75,000 75,000 0 0.00% Miscellaneous Revenue 194,812 178,616 176,662 192,058 172,174 138,850 149,267 148,300 9,450 6.81% Transfers 196.930 196,930 178,558 188,008 190,688 212.031 212,031 197,081 (14,950) -7.05% TOTAL REVENUES 11,038.569 11,031,550 11,451,959 12,327,212 12,686,944 12 072 73212 608 416 12,699,145 626,413 4.97% EXPENDITURES General Government 2,592,649 2,642,223 2,748,464 2,843,957 2,906,325 3,376,128 3,286,300 3,504,589 128,461 3.80% ..L OD Public Safety 4,667,326 4,778,336 4,956,352 5,091,793 5,162,234 5,415,427 5,508,650 5,743,417 327,990 6.06% Public Works 2,966,674 2,854,540 3,158,490 3,148,743 3,314,542 3,714,653 3,794,493 3,888,159 173,506 4.67% Other 283,077 764,875 241,940 15,001 1,012,778 95,928 813,000 245.928 150,000 156.37% TOTAL EXPENDITURES 10 509 726 11,039,974 11,105,246 11,099,494 12,395,879 12,602,136 13 402,443 13,382,093 779,957 UNDER OVER BUDGET $ 528843 $ 8424 $ 346,713 $ 1,227,718 $ 291,065 $ 529404 $ 794027 $ 682948 $ 153544 REVENUES Property Taxes License and Permits Intergovernmental Revenues Charges for Services Fines and Forfeits Interest Income Miscellaneous Revenue Transfers r65Vi1�:7�7q: P14.9 CITY OF ANDOVER Revenue Comparison - General Fund Actual Actual Actual Budget Estimate Budget 2018 2019 2020 2021 2021 2022 - General Fund Property Taxes $ 8,634,130 $ 8,864,720 $ 9,303,235 $ 9,594,493 $ 9,594,493 $ 10,076,370 562,525 855,831 892,277 436,450 752,050 535,500 829,861 822,129 861,178 813,298 887,216 817,284 888,944 1,133,160 1,070,788 752,360 887,159 799,110 73,719 62,349 47,630 50,250 51,200 50,500 107,560 208,957 148,974 75,000 75,000 75,000 176,662 192,058 172,174 138,850 149,267 148,300 178,558 188,008 190,688 212,031 212,031 197,081 $ 11,451,959 $ 12,327,212 $ 12,686,944 $ 12,072,732 $ 12,608,416 $ 12,699,145 Transfers City of Andover 2022 Revenue by Source - General Fund Misc. Rev 1% Interest Income 2% TransfersJJF!nes 1% 8 Forfeits 0% Charges for Svcs 6% Intergov'I Rev 7% Licenses & Permits 4% Property Taxes 79% City of Andover 2022 Revenue Comparison - General Fund Property Taxes Licenses & Perils Intergov'I Rev 77 Charges for Svcs Fines & Forfeits Interest Income Misc. Rev Transfers $0.00 $2.00 $4.00 $6.00 $8.00 $10.00 $12.00 Ions 0 Budget 2022 ■ Estimate 2021 0 Actual 2020 a Actual 2019 0 Actual 2018 City of Andover 2022 Revenue by Source - General Fund Misc. Rev 1% Interest Income 2% TransfersJJF!nes 1% 8 Forfeits 0% Charges for Svcs 6% Intergov'I Rev 7% Licenses & Permits 4% Property Taxes 79% N O EXPENDITURES General Government Public Safety Public Works Other TOTAL EXPENDITURES CITY OF ANDOVER Expenditure Comparison - General Fund Actual Actual Actual Budget Estimate Budget 2018 2019 2020 2021 2021 2022 $ 2,748,464 25% $ 2,843,957 26% $ 2,906,325 23% $ 3,376,128 27% $ 3,286,300 25% $ 3,504,589 26% 4,956,352 45% 5,091,793 46% 5,162,234 42% 5,415,427 43% 5,508,650 41% 5,743,417 43% 3,158,490 28% 3,148,743 28% 3,314,542 27% 3,714,653 29% 3,794,493 28% 3,888,159 29% 241,940 2% 15,001 0% 1,012,778 8% 95,928 1% 813,000 6% 245,928 2% $ 11,105,246 $ 11,099,494 3 12,395,879 $ 12,602,136 $ 13,402,443 $ 13,382,093 City of Andover 2022 Expenditure Comparison -General Fund General Govt "OR Public Safety Public Works Other $0.00 $1.00 $2.00 $3.00 $4.00 $5.00 $6.00 $7.00 Millions O Budget 2022 ■ Estimate 2021 ■ Actual 2020 • Actual 2019 • Actual 2018 City of Andover 2022 Expenditures by Function -General Fund General Gc 26% Other 2% Public Safety 43% ubiic Works 29% N J Public 29. function CITY OF ANDOVER 2022 General Fund Expenditures by Function Other 42.9% :rnment general government expenartures CITY OF ANDOVER General Fund - General Government Expenditures Administration Council Newsletter 68,/o Human Resources Facility Mgmt^ 3.1% 0.8% 1.0% 20.5% \ Attorney 6.1% City Clerk 5.3% Elections 2.2% Finance 9.6% Engineering 18.6% Assessing Planning & Zoning Information Systems 4.6% 15.0% 6.5% CITY OF ANDOVER General Fund - Public Safety Expenditures Protective Inspection Emergency Management Animal Control 9.2% 0.5% 0.1% Fire Protection 32A% Police Protection 58.1% N N public works expenditures Natural Resource Preservation 0.4% Parks & Reci 40.5% CITY OF ANDOVER General Fund - Public Works Expenditures FRecycling 1 6.1% Street Lights - Billed 4.6% Street Signs Traffic Signals 5.9% 1.0% s & Highways 22.3% ow & Ice 18.1% CITY OF ANDOVER General Fund - Expenditure Budget Summary Totals - By Department Budget Year 2022 PUBLIC WORKS Actual Actual Actual Actual Actual Budget* Estimate Requested" I Change (') Streets and Highways 2016 2017 2018 2019 2020 2021 2021 2022 $ % GENERAL GOVERNMENT 468,173 449,881 599,029 703,647 496,668 675,888 666,088 702,923 27,035 4.00% Mayor and Council $ 86,989 $ 84,136 $ 87,813 $ 99,001 $ 95,519 $ 108,015 $ 105,115 $ 107,347 (668) -0.62% Administration 187,876 187,514 198,945 211,898 187,758 236,244 235,044 238,442 2,198 0.93% Newsletter 22,731 25,287 17,770 24,413 22,156 25,000 24,300 27,300 2,300 9.20% Human Resoumes 13,404 15,520 13,666 15,842 16,181 35,202 27,802 34,661 (541) -1.54% Attorney 184,990 188,644 188,031 191,782 195,721 206,941 205,000 212,041 5,100 2.46% City Clerk 148,338 147,450 149,769 160,184 166,221 176,206 175,946 185,278 9,072 5.15% Elections 64,433 17,852 50,629 20,452 91,643 74,212 22,000 77,188 2,976 4.01% Finance 252,563 258,883 272,851 280,199 294,501 320,768 319,118 337,466 16,698 5.21% Assessing 146,473 147,915 149,040 149,033 154,482 161,000 135,000 161,000 0 0.00% Infomtation Services 151,387 149,512 171,637 169,827 187,703 213,738 212,238 226,601 12,863 6.02% Planning & Zoning 414,141 398,780 422,983 412,282 453,133 504,204 500,054 526,669 22,465 4.46% Engineering 511,074 511,183 527,688 561,642 566,224 631,401 631,401 652,908 21,507 3.41% FacOity Management 408,250 509,547 497,642 547,402 475,083 683,197 693,282 717,688 34,491 5.05% Total General Gov 2,592,649 2,642,223 2,748,464 2,843,957 2,906,325 3,376,128 3,286,300 3,504,589 128,461 3.8004, 11 PURLICSAFETY N Police Protection 2,936,467 2,962,551 3,053,526 3,183,610 3,114,623 3,287,046 3,287,046 3,337,486 50,440 1.53% W Fire Protection 1,285,417 1,353,209 1,445,167 1,391,252 1,508,854 1,562,026 1,663,349 1,841,166 279,140 17.87% Protective Inspection 424,247 443,712 436,790 493,955 519,183 533,561 530,311 529,812 (3,749) -0.70% Emergency Management 17,495 16,320 18,060 18,608 17,227 26,844 22,994 29,003 2,159 8.040/. Animal Control 3,700 2,544 2,809 4,368 2,347 5,950 4,950 5,950 0 0.00% Total Public Safety 4,667,326 4,778,336 4,956,352 5,091,793 5,162,234 5,415,427 5,508,650 5,743,417 327,990 6.06% PUBLIC WORKS Streets and Highways 686,086 597,963 656,194 615,450 686,978 773,241 783,741 868,864 95,623 12.37% Snow and Ice Removal 468,173 449,881 599,029 703,647 496,668 675,888 666,088 702,923 27,035 4.00% Street Signs 167,282 214,540 206,890 202,996 257,281 240,842 239,082 230,094 (10,748) -4.46% Traffic Signals 27,919 36,151 33,857 26,422 23,045 40,000 37,000 40,000 0 0.00% Street Lighting 37,089 27,735 32,829 32,716 34,211 40,400 38,400 40,400 0 0.00% Street Lights - Billed 200,509 144,451 142,937 145,604 152,181 180,500 173,000 180,500 0 0.00% Park & Recreation 1,247,501 1,207,360 1,282,414 1,180,502 1,426,233 1,515,640 1,609,040 1,573,086 57,446 3.79% Natural Resource Preservation 7,255 6,503 5,158 16,831 9,821 14,383 16,383 14,311 (72) -0.50% Recycling 124,860 169,956 199,182 224,575 228,124 233,759 231,759 237,981 4,222 1.81% Toml Public Works 2,966,674 2,854,540 3,158,490 3,148,743 3,314,542 3,714,653 3,794,493 3,888,159 173,506 4.67% OTHER 283,077 764,875 241,940 15,001 1,012,778 95,928 813,000 245,928 150,000 156.37% Total Other 283,077 764,875 241,940 15,001 1,012,778 95,928 813,000 245,928 150,000 156.37% GRAND TOTAL $ 10,509,726 $ 11,039,974 $ 11,105,246 $ 11,099,494 $ 12,395,879 S 12,602,136 $ 13,402,443 $ 13,382,093 779,957 6.19% CITY OF ANDOVER COUNTY OF ANOKA STATE OF MINNESOTA RES. NO. A RESOLUTION ADOPTING THE CITY OF ANDOVER 2022 BUDGET AND 2022 PROPERTY TAX LEVY TO BE CERTIFIED TO THE COUNTY AUDITOR. WHEREAS, the preparation and adoption of budgets is recognized as sound financial practice; and WHEREAS, the City of Andover receives significant financial support from its residents through the payment of property taxes; and WHEREAS, the City of Andover has the responsibility to appropriately and efficiently manage the public's funds; and WHEREAS, Minnesota State Law requires the City to certify to the County Auditor an adopted tax levy and budget prior to December 28, 2021; and WHEREAS, Minnesota State Law requires the City to certify to the State of Minnesota Department of Revenue an adopted tax levy by December 28, 2021. NOW, THEREFORE, BE IT RESOLVED that the City Council of the City of Andover hereby adopts the 2022 City of Andover Budget and the 2022 property tax levy totaling $16,107,254 as listed on Attachment A. ro BE IT FURTHER RESOLVED that the City Council of the City of Andover hereby establishes the 2022 City of Andover Budget by fund type as follows: REVENUES EXPENDITURES General Fund $ 12,699,145 General Fund $ 13,382,093 Special Revenue Funds 4,117,588 Special Revenue Funds 3,758,769 Debt Service Funds 4,659,505 Debt Service Funds 3,617,529 Capital Projects Funds 15,021,155 Capital Projects Funds 13,294,520 Enterprise Funds 6,140,115 Enterprise Funds 6,264,073 Internal Service Funds 1,437,715 Internal Service Funds 1,612,431 Total $ 44,075,223 Total $ 411929,415 Adopted by the City of Andover this day of December 2021. ATTEST: Sheri Bukkila - Mayor Michelle Hartner— Deputy City Clerk STATE OF MINNESOTA) COUNTY OF ANOKA ) LGIOWCOM, Z10i1901 I, the undersigned, being the duly qualified and acting City Clerk of the City of Andover, Minnesota, do hereby certify that I have carefully compared the attached Resolution No. adopting the City of Andover 2022 Budget and 2022 Property Tax Levy with the original record thereof preserved in my office, and have found the same to be true and correct transcript of the whole thereof. IN TESTIMONY WHEREOF, I have hereunto subscribed my hand this day of December 2021. Michelle Hartner — Deputy City Clerk CITY OF ANDOVER, MINNESOTA 2022 Property Tax Levy Proposed 2022 Levy General Fund Levy General Operations $ 9,868,370 Community Center Operations 155,000 Park Repair/Replacement Items 130,000 Total General Fund 10,153,370 Debt Service Funds Levy 2012C Taxable G.O. Abatement Bonds 974,628 2018A G.O. Capital Improvement Plan Bonds 617,519 2019A Taxable G.O. Abatement Bonds 1,014,065 2020A G.O. Equipment Certificate 374,850 ro 2021A G.O. Equipment Certificate 170,000 rn 2021A G.O. Street Reconstruction Bonds 600,000 Total Debt Service 3,751,062 Other Levies Capital Projects Levy Capital Equipment/Project 275,000 Facility Maintenance Reserve 355,000 Parks Projects 15,000 Road & Bridge 1,409,579 Pedestrian Trail Maintenance 108,243 Lower Rum River Watershed 40,000 Total Other 2,202,822 Gross City Levy $ 16,107,254 Attachment A (2D ND16w^ 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 WWW.ANDOVERMN.GOV TO: Mayor and Councilmembers CC: Jim Dickinson, City Administrator FROM: Lee Brezinka, Finance Manager SUBJECT: Review / Adopt 2022 Debt Service Levy Changes DATE: December 7, 2021 INTRODUCTION Anoka County Property Records and Taxation Division requires a City Council resolution changing bonded indebtedness levies for 2022 that would have been certified to Anoka County as part of prior years bond sales. DISCUSSION When the City issues bonds, a certification of the bonded indebtedness levy is sent to Anoka County. The County is charged with assuring on an annual basis that local government bonded indebtedness payments are made. To assist in monitoring, the County is requesting a resolution that would update all or a portion of previously certified bonded indebtedness levies. Attached is a resolution to update bonded indebtedness levies along with a brief description as to why there was a change. BUDGETIMPACT The 2022 City of Andover Debt Service Budget is current and up-to-date. This resolution is to inform the County of any changes that have taken place in the past year as well as any new issuances proposed to be levied for 2022. ACTION REQUESTED The Andover City Council is requested to review and approve the attached resolution that would update certified bonded indebtedness levies for 2022. Respectfully submitted, Lee Brezinka Attachment: Resolution Updating Certified Bonded Indebtedness for 2022 Attachment A — 2022 Proposed Levy Certification Debt Changes CITY OF ANDOVER COUNTY OF ANOKA STATE OF MINNESOTA RES. NO. A RESOLUTION UPDATING CERTIFIED BONDED INDEBTEDNESS FOR 2022. WHEREAS, the preparation and adoption of budgets is recognized as sound financial practice; and WHEREAS, the City of Andover has the responsibility to appropriately and efficiently manage the public's funds; and WHEREAS, the City of Andover has determined that it is prudent to update certified bonded indebtedness levies for 2021; and WHEREAS, the Anoka County Property Records and Taxation Division is requiring a City Council resolution updating bonded indebtedness levies that would have been certified to Anoka County as part of prior year bond sales. NOW, THEREFORE, BE IT RESOLVED that the City Council of the City of Andover hereby updates all or a portion of previously certified bonded indebtedness levies for 2022 as listed on Attachment A. Adopted by the City of Andover this day of December 2021. CITY OF ANDOVER ATTEST: Sheri Bukkila - Mayor Michelle Harmer — Deputy City Clerk STATE OF MINNESOTA) COUNTY OF ANOKA CITY OF ANDOVER I, the undersigned, being the duly qualified and acting City Clerk of the City of Andover, Minnesota, do hereby certify that I have carefully compared the attached Resolution No. adopting the City of Andover updates of all or a portion of previously certified bonded indebtedness levies for 2022 with the original record thereof preserved in my office, and have found the same to be true and correct transcript of the whole thereof. IN TESTIMONY WHEREOF, I have hereunto subscribed my hand this day of December 2021. Michelle Hartner — Deputy City Clerk GENERAL OBLIGATION DEBT 70 2012C GO Taxable Abatement Bonds 74 2018A GO Capital Improvement Plan Bonds 75 2019A GO Taxable Abatement Bonds 76 2020 GO Equipment Certificate 2021A GO Equipment Certificate 2021A GO Street Reconstruction Bonds CITY OF ANDOVER 2022 Proposed Levy Certification Debt Changes County Levy City Levy Levy Scheduled Scheduled Changes Variance Explanation $ 974,628 $ 974,628 $ - Meet bona fide debt service requirements 617,519 617,519 - Meet bona fide debt service requirements 1,014,065 1,014,065 - Meet bona fide debt service requirements 374,850 374,850 - Adjustment for PY levy amount - 170,000 (170,000) new issuance 600,000 (600,000) new issuance Total $ 2,981,062 $ 3,751,062 $ (770,000) 1685 CROSSTOWN BOULEVARD N.W. • ANDOVER, MINNESOTA 55304 • (763) 755-5100 FAX (763) 755-8923 • WWW.ANDOVERMN.GOV TO: FROM: SUBJECT: DATE: Mayor and Councilmembers Jim Dickinson, City Administrator Administrator's Report December 7, 2021 The City Administrator and Department Heads present at the meeting will provide a brief verbal update on various items of interest to the City Council and to the residents at the meeting. Listed below are a few areas of interest: 1. City Department Activities 2. Update on Development/CIP Projects 3. Meeting reminders Upon receipt of the meeting packet, if a member of the Council would like an update on a particular item, please notify me so an adequate update can be made.